What does ineligible amount mean?

Asked by: Jordyn Jones  |  Last update: August 7, 2025
Score: 5/5 (61 votes)

Ineligible – amount considered not eligible or not covered under the plan. 13. Reason Code Description – a code that explains why certain amounts were not covered.

What does ineligible amount mean on an EOB?

The “Ineligible” column includes the required Coinsurance (if a PPO provider is used) OR any amount that exceeds the Usual. and Customary (if an Out-of-Network Provider is used) and is therefore not covered under the policy. The Ineligible amount will be included in the Patient Balance.

What does ineligible mean in finance?

Ineligibles refer to certain assets or accounts that are excluded from a borrowing base or collateral when determining the amount of credit or financing a borrower can receive.

What does ineligible mean for employment?

(a) Definition. An ineligible is an employee who, on first occupying a position under a retirement system, is not eligible for membership in that system because of a personal disqualification like age, physical condition, or length of service. (b) Coverage of ineligible employees.

What does "ineligible" mean for health insurance?

Definition: Ineligible procedures are medical procedures that are excluded from a specific health plan.

Ineligible | INELIGIBLE definition

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What does status ineligible mean?

: not qualified for an office or position.

What makes you ineligible for Medi-Cal?

Medicaid income eligibility in California is based on household size. To qualify for free Medi-Cal coverage, you need to earn less than 138% of the poverty level, based on the number of people who live in your home. The income limits based on household size are: One person: $17,609.

What is the difference between ineligible and not eligible?

To be ineligible is to not qualify for something. When you're eligible for something — like a contest — you are allowed to enter. Being ineligible is the opposite; it means that you can't enter or participate in something. After a certain age, children are ineligible for playing Little League baseball.

What does ineligible reason mean?

If you are ineligible for something, you are not qualified for it or entitled to it. [formal] They were ineligible to remain in the U.S. Synonyms: unqualified, ruled out, unacceptable, disqualified More Synonyms of ineligible.

What does approve ineligible mean?

Approve/Ineligible means that that the risk of the loan is acceptable, but it is not eligible for delivery to Fannie Mae.

Does not ineligible mean eligible?

Saying someone is “not ineligible” means they're eligible. Government agencies usually say that you're either eligible or ineligible unless they are overturning a previous decision, thus saying that the additional info provided now shows that you're not ineligible.

What is an ineligible expense?

Eligible expenses are expenses directly linked to the successful delivery of the project. Ineligible. Expenditures refers to expenditure on items not directly related to the delivery of an approved project.

Why does it say I'm ineligible for financial aid?

For instance, you might no longer meet one of the basic eligibility criteria, or you might have changed majors and no longer be enrolled in a program that makes you eligible to receive a specific type of funding (for instance, a Teacher Education Assistance for College and Higher Education [TEACH] Grant).

What happens if I pay more than my EOB?

If your provider is charging you more than your EOB shows, we encourage you to talk to your provider directly and ask that your bill be adjusted. If you've already paid more than your EOB says that you owe, you will need to request a refund from your provider or facility directly.

What does declared ineligible mean?

not allowed to do or have something, according to particular rules: be declared ineligible for He was declared ineligible for the competition because he worked for the company that ran it.

What does claim status monetarily ineligible mean?

If you are asking about unemployment benefits, being monetarily ineligible means you aren't qualified for unemployment benefits. You either haven't worked for an employer that is paying unemployment taxes for you, haven't worked long enough, or haven't earned enough money.

What is an ineligible amount?

12. Ineligible – amount considered not eligible or not covered under the plan. 13. Reason Code Description – a code that explains why certain amounts were not covered.

What does ineligible status mean?

not eligible; not permitted or suitable: Employees are ineligible in this contest. Synonyms: unsuitable. legally disqualified to hold an office. legally disqualified to function as a juror, voter, witness, etc., or to become the recipient of a privilege.

What does ineligible list mean?

Definition. A list of major-league players or otehrs found guilty of misconduct (attempting to throw games, bribe players or umpires, or bet on games) or convicted of crimes involving moral turpitude. Players on the ineligible list are not eligible to play or associate with any major- or minor-league club.

What are ineligible items?

Ineligible Items means each of: Checks that are not payable to you or third party checks (checks not payable to the legal business name and/or trade name for the business checking account where the funds are being deposited); Checks or items containing obvious alteration to any of the fields on the front of the check ...

What is ineligible credit?

Ineligible input tax credit in the GST law determines the tax amount that a business cannot claim as a credit against the GST payable on its outward supplies. This impacts the overall tax liability and compliance requirements.

What does ineligible loan mean?

Ineligible Collateral Loan means, at any time, a Collateral Loan or any portion thereof, that fails to satisfy any criteria of the definition of Eligible Collateral Loan as of the date when such criteria are applicable.

How much money can I have in my bank account if I have Medi-Cal?

For new Medi-Cal applications only, current asset limits are $130,000 for one person and $65,000 for each additional household member, up to 10. Starting on January 1, 2024, Medi-Cal applications will no longer ask for asset information. » I was not eligible in the past.

What will disqualify you from Medi-Cal?

The Medi-Cal program determines eligibility for benefits on a “means” tested basis. If a Medi-Cal applicant's property/assets are over the Medi-Cal property limit, the applicant will not be eligible for Medi-Cal unless they lower their property/assets according to the program rules.

What would make me ineligible for Medicaid?

Medicaid beneficiaries generally must be residents of the state in which they are receiving Medicaid. They must be either citizens of the United States or certain qualified non-citizens, such as lawful permanent residents. In addition, some eligibility groups are limited by age, or by pregnancy or parenting status.