Maximum amount paid or maximum number of services/products covered; or maximum amount or number covered during a specified time period under the policy or program.

Codes representing the time period during which coverage is available; or financial participation requirements are in effect.

Definition: Maximum amount paid by payer or covered party; or maximum number of services or products covered under the policy or program during a covered party's lifetime.

Maximum net amount that will be covered for the product or service specified.

Definition: Maximum amount paid by payer or covered party; or maximum number of services/products covered under the policy or program by time period specified by the effective time on the act.

Maximum unit price that will be covered for the authorized product or service.

Maximum number of items that will be covered of the product or service specified.

Definition: Codes representing the maximum coverate or financial participation requirements.

Codes representing the types of covered parties that may receive covered benefits under a policy or program.

Codes representing the level of coverage provided under the policy or program in terms of the types of entities that may play covered parties based on their personal relationships or employment status.