Common use of Non-Participating Facility Provider Clause in Contracts

Non-Participating Facility Provider. the Provider’s Reasonable Charge is sixty percent (60%) of billed charges for inpatient services and forty percent (40%) of billed charges for outpatient services. The member will be responsible for any difference between the non-participating facility provider’s billed charge and the Plan’s payment.

Non-Participating Facility Provider. the Provider’s Provider’s Reasonable Charge is sixty percent (60%) % of billed charges for inpatient services Services and forty percent (40%) % of billed charges for outpatient services. The member will be responsible for any difference between the non-non- participating facility provider’s provider’s billed charge and the Plan’s Plan’s payment.