Define: Contractual Adjustment

How is Contractual Adjustment defined in a legal contract?

• Contractual Adjustment means a reduction in the outstanding principal amount of a receivable due to Medicare or Medicaid program funding and fee requirements, or any other reasonable and customary insurance company or other charge or reimbursement policies or procedures. Seen in 14 SEC filings
• Contractual Adjustment means the discrepancy between charges billed to a payer source and the amount that is paid to a healthcare facility based on an agreement between the facility and the payer source. Seen in 7 SEC filings
• Contractual Adjustment means the difference between a hospital’s fully billed amount for medical services and the discounted charge or payment received by the hospital from the payer. Seen in 6 SEC filings
• Contractual Adjustment means the disparity between the billed amount at established rates for provided services and the amount received or due from a third-party payer for a contract agreement. Seen in 4 SEC filings
• Contractual Adjustment means the difference between the gross amount of an account and the amount an account debtor agrees to or is obligated to pay under any agreement. Seen in 1 SEC filing

Note: The Genie AI Legal Assistant pulled this data out of the SEC EDGAR Database of 500,000 records from the past 22 years of filings. We regularly update this page as new filings and definitions come in.

Search EDGAR for 'Definitions of contractual adjustment' yourself to verify these results. We are always keen to point people to source documents.

‍

Which definition should you use?

🤔 Our AI Legal Assistant has combined and improved the above descriptions to create market-standard 'Genie definitions' below, with guidance on which documents and which industry to use for each.

‍

Genie Definition 1

• Contractual Adjustment means a reduction in the billed amount of a receivable due to policy requirements or set agreements.

Relevant Contract Types

• Service Delivery Contracts
• Insurance Agreements
• Healthcare Service Agreements

Relevant Circumstances

• Implementing public funding changes
• Adjusting for organizational scale or scope changes
• Associating with insurance claim adjustments
• Revising due to policy or procedural shifts

Relevant Sectors

• Insurance
• Healthcare
• Public Services

‍

Genie Definition 2

• Contractual Adjustment means the difference between established charges for services and the agreed payment from a third-party.

Relevant Contract Types

• Vendor Contracts
• Supply Chain Contracts
• Sale of Service Contracts

Relevant Circumstances

• Negotiating third-party payer agreements
• Reconciling billing discrepancies
• Determining payment adjustments

Relevant Sectors

• Manufacturing
• Retail
• Professional Services

‍