Individual Standing Offer Model Sample Clauses

Individual Standing Offer Model. Physician authorizes CCPA to bind Physician to those Non-Risk Products that include a fee schedule that is equal to or more favorable than the fee schedule offered by Physician (“Physician’s Standing Fee Schedule”). CCPA must furnish the prospective Payor with a written statement of its authority under the Standing Offer Model. Such written statement shall include, but shall not be limited to, the following: (i) Physician has separately and independently determined Physician’s Standing Fee Schedule based on either a percentage of Medicare’s physician fee schedule or a percent discount from Physician’s billed charges or a dollar value for each CPT code, and CCPA is not authorized to bind Physician to an offer that is lower than Physician’s Standing Fee Schedule; (ii) CCPA shall not be permitted to bind Physician to fees which are at a level below Physician’s Standing Fee Schedule irrespective of whether Physician has on a previous occasion accepted a similar or even lower level of fees from another Payor after being transmitted such a proposal; and (iii) at the request of a prospective Payor, CCPA will convey specific proposals to Physician which proposals are outside the scope of CCPA’s authority granted by Physician.