allowable benefits

allowable benefits, necessary, reasonable, and customary items of service or treatments covered in whole or in part under an insurance plan.
References in periodicals archive ?
Truly maximizing the intended and allowable benefits from the IC-DISC does require a more in depth calculation, but may not take much more time.
There is no cost associated with this service and a VA accredited specialists will work with any Veteran or widow(er) of a Veteran, in obtaining their allowable benefits through the Department of Veterans Affairs.
Most of our 16,000 fuel assistance households have exhausted their allowable benefits.
Understanding eligibility for state Medicaid programs and the allowable benefits can help you guide quality care and shape the fiscal health of your pediatric practice.
LIPA works hard to find cost savings and to approve the most clinically efficient options that fit within the allowable benefits.
This agreement states the specific parameters for allowable benefits.
Using the previous example, the survivor draws the bulk of monthly allowable benefits from DIC and is only entitled to a monthly SBP payment of $152.
The vendor needs to know the payment flows to be able to calculate an(/analyze coordination of benefits (COB), adjustments and allowable benefits.