Participating Professional Provider and Contracting Supplier (outside Pennsylvania Sample Clauses

Participating Professional Provider and Contracting Supplier (outside Pennsylvania 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 outside Pennsylvania.

Participating Professional Provider and Contracting Supplier (outside Pennsylvania. 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 percent (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 or contracting supplier will accept the Plan’s payment, plus the member’s coinsurance and/or deductible obligations, as payment in full for covered services rendered to the member.