What is Usual, Customary, and Reasonable (UCR) fee?
Top The amount commonly charged for a particular medical service by physicians within a particular geographic region. UCR fees are used by traditional health insurance companies as the basis for provider reimbursement and for Managed Care Organizations as the basis for non-network provider reimbursement.
Related Questions
- Plans say they pay for usual, customary, and reasonable (UCR) or reasonable and customary (R&C) charges. What does UCR and R&C mean and how is it determined?
- Plans say they pay for Usual, Customary & Reasonable (UCR) or Reasonable & Customary (R&C) charges. What does UCR or R&C mean and how is it determined?
- Why is there a usual, customary, and reasonable (UCR) denial from my insurance carrier?
