Maturity factor

Dollar amount sum (factor) to annualize insurance claims where less than 1 year’s experience is obtainable. For example, if only 10 months of claims exist, the total dollar amount is multiplied by a maturity factor of 1.2 to obtain a 1-year claim amount (10 × 1.2 = 12).

Maximum allowable

Sum set by an insurance company as the greatest amount that it will pay for a specific medical benefit or procedure. Third-party actual payment may be less than the maximum allowable because of the insured’s deductible and coinsurance. Also called maximum allowable charge, maximum allowable amount, allowed amount , or approved amount .