Participating Professional Provider and Contracting Supplier (Out-of Area Sample Clauses

Participating Professional Provider and Contracting Supplier (Out-of Area. 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 seventy (70%) of the remaining amount and the member’s coinsurance obligation will be thirty percent (30%) of the remaining amount. The member is obligated to pay the coinsurance amount as well as any deductible amounts. The participating professional provider and the contracting 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.
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Participating Professional Provider and Contracting Supplier (Out-of Area the Provider’s Reasonable Charge is the amount agreed to by the participating professional provider or contracting supplier as payment in full, as set forth in the agreement between the participating professional provider or contracting supplier and the local licensee of the Blue Cross Blue Shield Association located Out-of-Area.
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