Common use of In California Clause in Contracts

In California. The lower of: (a) the provider’s billed charge, or (b) the amount determined by Blue Shield to be the reasonable and customary value for the services rendered by a Non-Participating Provider based on statistical information that is updated at least annually and considers many factors including, but not limited to, the provider’s training and experience, and the geographic area where the services are rendered.

Appears in 13 contracts

Samples: Evidence of Coverage and Health Service Agreement, Evidence of Coverage and Health Service Agreement, Evidence of Coverage and Health Service Agreement

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In California. The lower of: (a) the provider’s billed charge, or (b) the amount determined by Blue Shield to be the reasonable and customary custom- ary value for the services rendered by a Non-Participating Provider non- Plan provider based on statistical information that is updated at least annually and considers many factors including, but not limited to, the provider’s training and experience, and the geographic ge- ographic area where the services are rendered.

Appears in 7 contracts

Samples: Group Health Service Contract, Group Health Service Contract, Group Health Service Contract

In California. The lower of: (a) the provider’s billed charge, or (b) the amount determined by Blue Shield to be the reasonable and customary custom- ary value for the services rendered by a Non-Non- Participating Provider based on statistical information in- formation that is updated at least annually and considers many factors including, but not limited lim- ited to, the provider’s training and experience, and the geographic area where the services are rendered.

Appears in 3 contracts

Samples: Group Health Service Contract, Group Health Service Contract, Group Health Service Contract

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In California. The lower of: (a) the provider’s billed charge, or (b) the amount determined by Blue Shield to be the reasonable and customary cus- tomary value for the services rendered by a Nonnon-Participating Provider Plan provider based on statistical information infor- mation that is updated at least annually and considers many factors including, but not limited lim- ited to, the provider’s training and experience, and the geographic area where the services are rendered.

Appears in 1 contract

Samples: Group Health Service Contract

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