POS Out-of-Network Institutional Fund Settlement Sample Clauses

POS Out-of-Network Institutional Fund Settlement. Blue Shield shall establish a POS Out-of-Network Institutional Fund. a. Funding of Out-of-Network Institutional Fund - Blue Shield will allocate on a monthly basis the amounts set forth in Schedule 1 to this Exhibit G-2 for all BSC POS Members assigned to Group, subject to retroactive adjustments due to retroactive changes in members (the “POS Out-of-Network Institutional Budget”).
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POS Out-of-Network Institutional Fund Settlement. Blue Shield shall establish a POS Out-of-Network Institutional Fund. (a) Funding of Out-of-Network Institutional Fund - Blue Shield will allocate on a monthly basis the amounts set forth in Schedule 1 to this Exhibit G-2 for all BSC POS Members assigned to Group, subject to retroactive adjustments due to retroactive changes in members (the “POS Out-of-Network Institutional Budget”). (b) Allocation of POS Out-of-Network Institutional Expenses - The POS Out-of-Network Institutional Fund shall be charged for all Covered Out-of-Network Institutional services which are paid by Blue Shield for BSC POS Members assigned to Group (the “POS Out-of-Network Institutional Expenses”). Blue Shield shall include any payments for Shared Savings Services which are paid prior to the date of the settlement, as well as a reasonable allowance, as determined by Blue Shield’s actuaries, for incurred but not paid (IBNP) claims. Any costs for Shared Savings Services not included in any annual settlement shall be carried forward and included in the Shared Savings settlement for the succeeding Agreement Year. (c) Timing of POS Out-of-
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