Common use of Payment for Covered Services Clause in Contracts

Payment for Covered Services. QualCare’s Network fee schedule is attached hereto as Exhibit A and incorporated herein by this reference. Participating Provider agrees to xxxx the applicable Payor the usual and customary charges that such Participating Provider bills other commercial third party payors and agrees to accept from the applicable Payor as payment in full for Covered Services rendered to Members the lesser of eighty percent (80%) of such Participating Provider’s usual and customary billed charges or the fee listed on QualCare’s Network fee schedule, less any applicable Co-Payments, Co-Insurance and Deductibles and less any amounts payable by another third party payor under the Coordination of Benefits provisions. Overpayments may be recovered by QualCare or the Payor, as applicable, in accordance with applicable federal and state laws, rules, and regulations, as well as with QualCare’s and/or the Payor’s policies and procedures, as applicable and as may be amended from time to time.