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Usual, Customary and Reasonable Charges

When billing HCS or its clients, physicians, facilities and other health care professionals are required to submit claims based on usual, customary and reasonable (UCR) charges.

The usual and customary charges submitted by physicians, other health care professionals and facilities are used by national pricing databases to identify how much providers in the same specialty are charging for similar services rendered in the same geographic locations.

Failure to bill your usual and customary charges may result in understating the reasonable payment allowance for the services you render.