Duties of SDC. (i) SDC shall permit any willing Dentist who desires to apply for participation in the plan an opportunity to apply at any time during the year. SDC shall not discriminate against any willing Dentist who is located within the geographic coverage area of SDC, and is willing to meet the terms and conditions for participation established by SDC. (ii) SDC shall pay to the Dentist for Covered Dental Services, on a fee-for-service basis, the lesser of (a) the Dentist's ordinary and customary fee for the dental service, and (b) the Fee Schedule amount for the dental service as approved from time to time by SDC. In developing its Fee Schedule, SDC compiles billed charge information from claims submissions from all participating dentists to determine reasonable fee maximums for each coded service. The current Fee Schedule for commonly billed codes is included with this Agreement and is available on SDC’s website at xxx.xxxxxxxxxxxxxx.xxx. (iii) SDC shall pay Dentist for Covered Dental Services rendered to Covered Persons according to the Fee Schedule within thirty (30) days after SDC’s receipt of a clean and complete claim for Covered Dental Services properly submitted by Dentist in the form and manner prescribed by SDC and State law.
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Samples: Dentist Participation Agreement, Dentist Participation Agreement, Dentist Agreement
Duties of SDC. (i) SDC shall permit any willing Dentist who desires to apply for participation in the plan an opportunity to apply at any time during the year. SDC shall not discriminate against any willing Dentist who is located within the geographic coverage area of SDC, and is willing to meet the terms and conditions for participation established by SDC.
(ii) SDC shall pay to the Dentist for Covered Dental Services, on a fee-for-service basis, the lesser of (a) the Dentist's ordinary and customary fee for the dental service, and (b) the Fee Schedule amount for the dental service as approved from time to time by SDC. In developing its Fee Schedule, SDC compiles billed charge information from claims submissions from all participating dentists to determine reasonable fee maximums for each coded service. The current Fee Schedule for commonly billed codes is included with this Agreement and is available on SDC’s website at xxx.xxxxxxxxxxxxxx.xxx.
(iii) SDC shall pay Dentist for Covered Dental Services rendered to Covered Persons according to the Fee Schedule within thirty (30) days after SDC’s receipt of a clean and complete claim for Covered Dental Services properly submitted by Dentist in the form and manner prescribed by SDC and State lawSDC, in accordance with the requirements of Revised Code Sections 3901.38 et seq.
Appears in 2 contracts
Samples: Dentist Participation Agreement, Dentist Participation Agreement
Duties of SDC. (i) SDC shall permit any willing Dentist who desires to apply for participation in the plan an opportunity to apply at any time during the year. SDC shall not discriminate against any willing Dentist who is located within the geographic coverage area of SDC, and is willing to meet the terms and conditions for participation established by SDC.
(ii) SDC shall pay to the Dentist for Covered Dental Services, on a fee-for-service basis, the lesser of (a) the Dentist's ’s ordinary and customary fee for the dental service, and (b) the Fee Schedule amount for the dental service as approved from time to time by SDC. In developing its Fee Schedule, SDC compiles billed charge information from claims submissions from all participating dentists to determine reasonable fee maximums for each coded service. The current Fee Schedule for commonly billed codes is included with this Agreement and is available on SDC’s website at xxx.xxxxxxxxxxxxxx.xxx.
(iii) SDC shall pay Dentist for Covered Dental Services rendered to Covered Persons according to the Fee Schedule within thirty (30) days after SDC’s receipt of a clean and complete claim for Covered Dental Services properly submitted by Dentist in the form and manner prescribed by SDC and State lawSDC, in accordance with the requirements of Revised Code Sections 3901.38 et seq.
Appears in 1 contract
Samples: Dentist Agreement