Capitation Payments for Commercial POS Plan Members. For Commercial POS Plan Members, PacifiCare will pay Medical Group *** of the monthly Standard Service Capitation Amount for Commercial Plan Members, subject to the adjustments set forth in Article 5 of the Base Agreement and the adjustments set forth below in this Section. The payment described in this Section is payment in full for In-Network Services, except for Copayments, coordination of benefits and third party recoveries.
Appears in 4 contracts
Samples: Medical Group/Ipa Services Agreement (Prospect Medical Holdings Inc), Medical Group/Ipa Services Agreement (Prospect Medical Holdings Inc), Professional Capitation Medical Group/Ipa Services Agreement (Prospect Medical Holdings Inc)
Capitation Payments for Commercial POS Plan Members. For Commercial POS Plan Members, PacifiCare will pay Medical Group *** of the Capitation Payment of the monthly Standard Service Capitation Amount for Commercial Plan Members, subject to the adjustments set forth in Article 5 of the Base Agreement and the adjustments set forth below in this Section. The payment described in this Section is payment in full for In-Network Services, except for Copayments, coordination of benefits and third party recoveries.
Appears in 1 contract
Samples: Medical Group/Ipa Services Agreement (Prospect Medical Holdings Inc)
Capitation Payments for Commercial POS Plan Members. For Commercial POS Plan Members, PacifiCare will pay Medical Group *** sixty-five percent (65%) of the monthly Standard Service Capitation Amount Payment for Commercial Plan Members, subject to the adjustments set forth in Article 5 of the Base Agreement and the adjustments set forth below in this Section. The payment described in this Section is payment in full for In-Network Services, except for Copayments, coordination of benefits and third party recoveries.3.1
Appears in 1 contract
Samples: Medical Group/Ipa Services Agreement (Prospect Medical Holdings Inc)
Capitation Payments for Commercial POS Plan Members. For Commercial POS Plan Members, PacifiCare will shall pay Medical Group *** of the monthly Standard Service Capitation Amount Payments for Commercial Health Plan Members, . Said Capitation Payments may be subject to the adjustments set forth in Article 5 of the Base Agreement and the adjustments set forth below in this Section(if any). The payment described in this Section is payment in full for In-Network Services, except for Copayments, coordination of benefits benefits, and third party recoveries.
Appears in 1 contract
Samples: Medical Group/Ipa Services Agreement (Prospect Medical Holdings Inc)
Capitation Payments for Commercial POS Plan Members. For Commercial POS Plan Members, PacifiCare will pay Medical Group *** eighty five percent (85%) of the monthly Standard Service Capitation Amount for Commercial Plan Members, subject to the adjustments set forth in Article 5 of the Base Agreement and the adjustments set forth below in this Section. The payment described in this Section is payment in full for In-Network Services, except for Copayments, coordination of benefits and third party recoveries.
Appears in 1 contract
Samples: Pacificare Medical Group/Ipa Services Agreement (Prospect Medical Holdings Inc)