Charges of healthcare providers that are consistent with charges from similar providers for identical or similar services in a given locale.

This refers to the standard or most common charge for a particular medical service when rendered in a particular geographic area. It is often employed in determining Medicare payment amounts.

These are three separate terms that are often incorrectly used interchangeably, synonymously or as a single term abbreviated as "UCR" when describing dental benefit plans. Definitions of the [..]

See fee.

An amount customarily charged for or covered for similar services and supplies which are medically necessary, recommended by a doctor or required for treatment.

late 14c., from Old French usuel "current, in currency (of money), valid" (13c.) and directly from Late Latin usualis "ordinary," from Latin usus "custom" (see use (v.)). [..]

The amount paid to a health care professional for a service based on the typical charges for that service within a specific geographical area.

occurring or encountered or experienced or observed frequently or in accordance with regular practice or procedure; "grew the usual vegetables"; "the usual summe [..]

happening more often than not

Definition adjective

Based on the average fee charged by all doctors in a given geographic area. Many insurers pay the (UCR) amount and the balance of any overcharges or costs of any disallowed services are the insured� [..]

geveyntlekh

habitual

(adj) occurring or encountered or experienced or observed frequently or in accordance with regular practice or procedure(adj) commonly encountered

usitas, consueta, solitus, promiscus promiscuus

Common healthcare insurance terminology. Payment for a service is limited to the lowest of the following: the usual charge for that service in the community; the physician’s customary charge for the s [..]

A limit on the amount your health plan will pay. Also called customary and reasonable, reasonable or prevailing charge. The limit is based on data Aetna receives. The data is based on what doctors cha [..]

Usual, customary and reasonable charges reflect the prevailing fees for service in an area. Many insurers and managed care plans reimburse providers based on UCR charges. This term may be synonymous w [..]

A health provider’s usual charge for a health care service that is consistent with the going rate or charge in a certain geographical area for identical or similar services. Note: For auto insurance, this relates to personal injury protection claims.

An amount customarily charged for or covered for similar services and supplies which are medically necessary, recommended by a doctor, or required for treatment.

An amount customarily charged for or covered for similar services and supplies which are medically necessary, recommended by a doctor or required for treatment.

The amount charged or the amount determined to be the reasonable charge, whichever is less, for a particular covered service in the geographical area it is performed.

Describes the preset allowable limits insurance companies use to set the maximum amount they will pay on a given health care service. A common way to set UCR fees is to get a list of existing fees for [..]

The amount paid for a medical service in a geographic area based on what providers in the area usually charge for the same or similar medical service. The UCR amount sometimes is used to determine the allowed amount.

the dollar amount the insurance companies believe to be a fair price for the medical service/procedure in a specific geographic area. Companies have developed their own UCR, which often do not reflect [..]

Usual Fee:The fee usually charged for a given service by an individual provider to his or her private patient, that is, his or her own usual fee. Customary Fee: the range of usual fees charged by prov [..]

The prevailing cost of a medical service in a given geographic area that an insurance plan is willing to pay.

See Reasonable and Customary.

 The amount an insurance company will pay for a covered medical expense based on the customary charges of all medical providers in a given geographic area for a similar service.

Usual may refer to: Common Normal Standard