Category: Insurance | Difficulty: Intermediate | Priority: Core | Subcategory: Plan Structure
The highest fee a dental benefit plan will recognize for a covered service; the patient is responsible for any difference between the dentist's actual fee and the maximum allowable charge.
The most your insurance plan will pay for a specific procedure — amounts above that are your responsibility.
[[fee schedule; allowed amount; ucr; write-off]]
Also called 'plan maximum fee' or 'table of allowances.' Differs from UCR, which is based on geographic averages.
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