Common use of BlueCard® Program Liability Calculation Method Per Claim Clause in Contracts

BlueCard® Program Liability Calculation Method Per Claim. Unless subject to a fixed dollar Copayment, the calculation of the Member liability on Claims for Covered Services will be based on the lower of the Participating Provider's billed charges for Covered Services or the negotiated price made available to Us by the Host Blue. Host Blues determine a negotiated price, which is reflected in the terms of each Host Blue’s healthcare Provider contracts. The negotiated price made available to Us by the Host Blue may be represented by one of the following:

Appears in 5 contracts

Samples: www.bcbsla.com, www.bcbsla.com, www.bcbsla.com

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