Common use of Allowable Charge Clause in Contracts

Allowable Charge. The charge the Claims Administrator will use as the basis for Benefit determination for Covered Services Incurred by a Covered Person under this Plan. The Claims Administrator will use the following criteria to establish the Allowable Charge: a. Delta Dental Premier Participating Dentists - the Dentist’s submitted fee up to the amount the Claims Administrator determines to be the maximum allowable amount for Delta Dental Premier Participating Dentists in the geographic area where the Covered Services were rendered.

Allowable Charge. The charge the Claims Administrator will use as the basis for Benefit determination for Covered Services Incurred by a Covered Person under this Plan. The Claims Administrator will use the following criteria to establish the Allowable Charge: a. Delta Dental Premier Participating Dentists - − the Dentist’s submitted fee up to the amount the Claims Administrator determines to be the maximum allowable amount for Delta Dental Premier Participating Dentists in the geographic area where the Covered Services were rendered.