 | 1965 - 608 pages
...cost basis, the cost is reasonable. Where payments are on a charge basis the carrier must see that such charge will be reasonable and not higher than...service and under comparable circumstances, to the carrier's other policyholders and subscribers. In determining reasonable charges, the carriers will... | |
 | 1977 - 920 pages
...supplementary medical insurance benefits plan is on a charge basis (see Subpart E of this part): (1) Such charge will be reasonable and not higher than...circumstances to the policyholders and subscribers of the carrier; and (2) Payment is to be based on an: (i) Itemized bill; (ii) Assignment under the terms of... | |
 | 1979 - 848 pages
...medical insurance benefits plan is on a charge basis (see Subpart E of this part): (1) Such charce will be reasonable and not higher than the charge...circumstances to the policyholders and subscribers of the carrier; and (2) Payment is to be based on an: (i) Itemized bill; (ii) Assignment under the terms of... | |
 | 1997 - 780 pages
...of the supplier (see § 405.503); (ii) The prevailing charge in the locality (see § 405.504); (iii) The charge applicable for a comparable service and...under comparable circumstances to the policyholders or subscribers of the carrier (see §405.508); (iv) The lowest charge level at which the item or service... | |
 | United States. Congress. Senate. Special Committee on Aging - 1965 - 76 pages
...be necessary to assure that, where payment under this part for a service is on a charge basis, (i) such charge will be reasonable and not higher than...circumstances, to the policyholders and subscribers of the carrier, and (ii) such payment will be made on the basis of a receipted bill, or on the basis of an... | |
 | United States. Congress. Senate. Committee on Finance - 1965 - 556 pages
...physicians or others furnishing noninstitutional services) the carrier must see tliar such charge is reasonable and not higher than the charge applicable...service and under comparable circumstances to the other policyholders and subscribers of the carrier. Payment by the carrier for physicians' services... | |
 | United States. Congress. House Interstate and Foreign Commerce - 1966 - 574 pages
...be necessary to assure that, where payment under this part for a service is on a charge basis, (i) such charge will be reasonable and not higher than...circumstances, to the policyholders and subscribers of the carrier, and (ii) such payment will be made on the basis of a receipted bill, or on the basis of an... | |
 | United States - 1966 - 556 pages
...be necessary to assure that, where payment under this part for a service is on a charge basis, (i) such charge will be reasonable and not higher than...circumstances, to the policyholders and subscribers of the carrier, and (ii) such payment will be made on the basis of a receipted bill, or on the basis of an... | |
 | United States. Congress. Senate. Committee on Labor and Public Welfare - 1971 - 1688 pages
...government jaded by the experience of cost-plus defense contracts.44 The statute also provides that "such charge will be reasonable and not higher than...applicable for a comparable service and under comparable circumstance, to the policy holders and subscribers of (he carrier . . ." This added requirement would... | |
 | United States. Congress. Senate. Finance - 1970 - 876 pages
...it appears to us that this would conflict with the following provision of the law : "that the charge be reasonable and not higher than the charge applicable...service and under comparable circumstances to the policy holders and subscribers of the carrier." At least under the present ground rules we have consistency... | |
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... (B) will take such action as may be necessary to assure that, where payment under this part for a service is on a charge basis, such charge will be reasonable and not higher than the charge applicable, for a comparable service and under comparable... 
