Common use of Care Coordinator Fees Clause in Contracts

Care Coordinator Fees. Host Blues may also xxxx BCBSNE for Care Coordinator Fees for provider services which we will pass on to THE GROUP as follows: 1. PMPM xxxxxxxx; or 2. 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 U.S. Centers for Medicare and Medicaid Services (CMS). As part of this Agreement, BCBSNE and THE GROUP will not impose Covered Person cost sharing for Care Coordinator Fees.

Appears in 3 contracts

Samples: Administrative Services Agreement, Administrative Services Agreement, Administrative Services Agreement

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Care Coordinator Fees. Host Blues may also xxxx bill BCBSNE for Care Coordinator Fees for provider services which we will pass on to THE GROUP as follows: 1. PMPM xxxxxxxx; or 2. 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 U.S. Centers for Medicare and Medicaid Services (CMS). As part of this Agreement, BCBSNE and THE GROUP will not impose Covered Person cost sharing for Care Coordinator Fees.

Appears in 2 contracts

Samples: Administrative Services Agreement, Administrative Services Agreement

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