Common use of For Providers Clause in Contracts

For Providers. For Providers, the Allowed Amount will be the lesser of the Provider’s charge and an amount based on Our Participating Provider fee schedule or rate. Our Allowed Amount is not based on UCR. The Non-Participating Provider’s actual charge may exceed Our Allowed Amount. You must pay the difference between Our Allowed Amount and the Non-Participating Provider’s charge. Contact Us at the number on Your ID card for information on Your financial responsibility when You receive services from a Non- Participating Provider.

For Providers. For Providers, the Allowed Amount will be the lesser of the Provider’s charge and an amount based on Our Participating Provider fee schedule or rate. Our Allowed Amount is not based on UCR. The Non-Participating Provider’s actual charge may exceed Our Allowed Amount. You must pay the difference between Our Allowed Amount and the Non-Participating Provider’s charge. Contact Us at the number on Your ID card for information on Your financial responsibility when You receive services from a Non- Non-Participating Provider.

For Providers. For Providers, the Allowed Amount will be the lesser 100% of the Provider’s charge and an amount based on Our Participating Provider fee schedule or ratecharge. Our Allowed Amount is not based on UCR. The Non-Participating Provider’s actual charge may exceed Our Allowed Amount. You must pay the difference between Our Allowed Amount and the Non-Participating Provider’s charge. Contact Us at the number on Your ID card or visit Our website xxx.xxxxxxxxxxx.xxx for information on Your financial responsibility when You receive services from a Non- Non-Participating Provider.