Common use of Care Coordinator Fees Clause in Contracts

Care Coordinator Fees. Host Blues may also bill Claim Administrator for Care Coordinator Fees for Provider services which Claim Administrator will pass onto Employer as follows: a) PMPM xxxxxxxx; or b) Individual Claim xxxxxxxx through applicable Care Coordination codes from the most current editions of either Current Procedural Terminology (“CPT”) published by the American Medical Association (“AMA”) or Healthcare Common Procedure Coding System (“HCPCS”) published by the US Centers for Medicare and Medicaid Services (“CMS”). As part of this Agreement, Claim Administrator and Employer will not impose Covered Person cost sharing for Care Coordinator Fees.

Care Coordinator Fees. Host Blues may also bill xxxx Claim Administrator for Care Coordinator Fees for Provider services which Claim Administrator will pass onto Employer as follows: a) : PMPM xxxxxxxx; or b) or Individual Claim xxxxxxxx through applicable Care Coordination codes from the most current editions of either Current Procedural Terminology (“CPT”) published by the American Medical Association (“AMA”) or Healthcare Common Procedure Coding System (“HCPCS”) published by the US Centers for Medicare and Medicaid Services (“CMS”). As part of this Agreement, Claim Administrator and Employer will not impose Covered Person cost sharing for Care Coordinator Fees.

Care Coordinator Fees. Host Blues may also bill Claim Administrator for Care Coordinator Fees for Provider services which Claim Administrator will pass onto Employer as follows: a) PMPM xxxxxxxx; or b) Individual Claim xxxxxxxx through applicable Care Coordination codes from the most current editions of either Current Procedural Terminology (“CPT”) published by the American Medical Association (“AMA”) or Healthcare Common Procedure Coding System (“HCPCS”) published by the US Centers for Medicare and Medicaid Services (“CMS”). As part of this Agreement, Claim Administrator and Employer will not impose Covered Person cost sharing for Care Coordinator Fees.