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usual, customary and reasonable

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usual, customary and reasonable (UCR) plan,
n a dental benefits plan that determines benefits based on usual, customary, and reasonable fee criteria. See also usual fee, customary fee, and reasonable fee.


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Most of these lawsuits focus on the bill-review companies' analysis of usual, customary and reasonable (UCR) medical fees.
In addition, periodontal codes such as D4910 may be reimbursed at 80% of usual, customary and reasonable (UCR) fees and not 100% UCR like the D1110.
UCR tables use an average of cost of services billed by providers in a particular area to determine usual, customary and reasonable costs.
 
 
 
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