Network Professional Provider and Network Supplier Sample Clauses

Network Professional Provider and Network Supplier the Provider’s Reasonable Charge is the amount agreed to by the network professional provider or network supplier as payment in full, as set forth in the agreement between the network professional provider or network supplier and the Plan.
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Network Professional Provider and Network Supplier. The Plan’s coinsurance liability arises after the member deductible obligation is subtracted from the Provider’s Reasonable Charge. At that time, the Plan will pay ninety percent (90%) of the remaining amount and the member’s coinsurance obligation will be ten percent (10%) of the remaining amount. The member is obligated to pay the coinsurance amount as well as any deductible and/or copayment amounts. The network professional provider or the network supplier will accept the Plan’s payment, plus the member’s coinsurance and/or deductible and/or copayment as payment in full for covered services rendered to the member. The network professional provider is not obligated to accept such payment as payment in full if the member fails to remit the coinsurance and/or deductible and/or copayment amounts to the network professional provider in a timely manner. The member shall remit or make arrangements to pay any coinsurance and/or deductible and/or copayment amounts directly to the network professional provider within sixty (60) days of the Plan’s finalization of the claim. Otherwise, the member will also be responsible for the difference between the network professional provider’s billed charge and the Plan’s payment.
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Network Professional Provider and Network Supplier. The Plan’s coinsurance liability arises after the member’s deductible obligation is subtracted from the Provider’s Reasonable Charge. At that time, the Plan will pay ninety percent (90%) of the remaining amount and the member’s coinsurance obligation will be ten percent (10%) of the remaining amount. The member is obligated to pay the coinsurance amount as well as any deductible amounts. The network professional provider or network supplier will accept the Plan’s payment, plus the member’s coinsurance and/or deductible as payment in full for covered services rendered to the member. The network professional provider is not obligated to accept such payment as payment in full if the member fails to remit the coinsurance and/or deductible amounts to the network professional provider in a timely manner. The member shall remit or make arrangements to pay any coinsurance and/or deductible amounts directly to the network professional provider within sixty (60) days of the Plan’s finalization of the claim. Otherwise, the member will also be responsible for the difference between the network professional provider’s billed charge and the Plan’s payment.
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