Issue link: https://www.massageandbodyworkdigital.com/i/1128556
80 m a s s a g e & b o d y w o r k j u l y / a u g u s t 2 0 1 9 Acceptable Claims UCRs Usual, customary, and reasonable (UCR) is the terminology used by insurance companies to determine what they will reimburse for treatments. UCR reimbursements are based on typical provider fees in your geographic location (most likely by zip code). If an insurance company considers your fees usual, customary, and reasonable, you will be reimbursed. If your fees are higher than other providers in your area, you will be reimbursed up to the normal UCR amount. Medically Necessary To diagnose or treat an illness, injury, condition, disease, or its symptoms, health-care services or supplies must be deemed medically necessary and meet accepted standards of medicine. 3 Insurance companies evaluate the medical necessity to determine whether the services and products you provide to their insured are appropriate for the client's condition and needs.