What does Usual & Customary (U&C), Reasonable & Customary, or Usual & Reasonable mean?
The amount charged by a percentile of physicians in a specified zip code area where a service is performed. The percentile of physicians on which the usual and customary charge is based will vary depending on the plan: the plan may select any percentile over 50 percent. Another term for this is Reasonable and Customary or Usual and Reasonable.
- 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?
- What does Usual Reasonable and Customary (URC) mean?