Services Outside the Program. The services included in the Program will be based on the allowed claims incurred for each Exchange-offered product in a manner consistent with ACO strategy and approved by the Board of Managers Exclusions include claims allowable under separate benefit riders.
Appears in 3 contracts
Samples: Risk Bearing Participant & Affiliate Agreement, Risk Bearing Participant & Preferred Provider Agreement, Risk Bearing Participant & Preferred Provider Agreement
Services Outside the Program. The services included in the Program will be based on the allowed claims incurred for each Exchange-offered product in a manner consistent with ACO strategy and approved by the Board of Managers Managers. Exclusions include claims allowable under separate benefit riders.
Appears in 1 contract
Samples: Onecare Provider Agreement
