United States Health Information Knowledgebase


Allowed Amount

Name:Allowed Amount
Definition:Allowable charges for covered services based on the specially negotiated fee between the provider and MCO.
Type:Data Element
Representation Format:$$$$$$$$$ccb or $$$$$$$$$cc-
Example:The amount of the patient co-pay or deductible is not deducted from this amount.

b = Space
- = Negative sign
Registration Authority:National Council for Prescription Drug Programs
Source:National Council for Prescription Drug Programs
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