Common use of SHIP Expense Clause in Contracts

SHIP Expense. SHIP Expense shall be equal to the sum of the following: (i) Inpatient costs for Hospital Services rendered to Secure Horizons Members by Participating Providers valued at the actual costs incurred by PacifiCare; plus, (ii) Other Hospital Services rendered to Secure Horizons Members by Participating Providers other than inpatient services, valued at actual costs incurred by PacifiCare; plus, (iii) The actual amount paid for Hospital Services, which are rendered by non-Participating Providers; minus, (iv) Amounts paid by PacifiCare under the Reinsurance Program, if any; minus, (v) Any and all amounts received from third parties for Hospital Services provided to Secure Horizons Members through coordination of benefits, work-related accidents or injuries, stop-loss and reinsurance payments and Medical Group Member Copayments.

SHIP Expense. SHIP Expense shall be equal to the sum of the following: (i) Inpatient costs for Hospital Services rendered to Secure Horizons Members by Participating Providers valued at the actual costs incurred by PacifiCare; plus, (ii) Other Hospital Services rendered to Secure Horizons Members by Participating Providers other than inpatient services, valued at actual costs incurred by PacifiCare; plus, (iii) The actual amount paid for Hospital Services, which are rendered by non-non- Participating Providers; minus, (iv) Amounts paid by PacifiCare under the Reinsurance Program, if any; minus, (v) Any and all amounts received from third parties for Hospital Services provided to Secure Horizons Members through coordination of benefits, work-related accidents or injuries, stop-loss and reinsurance payments and Medical Group Member Copayments.

SHIP Expense. SHIP Expense shall be equal to the sum of the following: (i) Inpatient costs for Hospital Services rendered to Secure Horizons Members by Participating Providers valued at the actual costs incurred by PacifiCare; plus,. (ii) Other Hospital Services rendered to Secure Horizons Members by Participating Providers other than inpatient services, valued at actual costs incurred by PacifiCare; plus,. (iii) The actual amount paid for Hospital Services, which are rendered by non-Participating Providers; minus,. (iv) Amounts paid by PacifiCare under the Reinsurance Program, if any; minus,. (v) Any and all amounts received from third parties for Hospital Services provided to Secure Horizons Members through coordination of benefits, work-related accidents or injuries, stop-loss and reinsurance payments and Medical Group Member Copayments.

SHIP Expense. SHIP Expense shall be equal to the sum of the following: (i) Inpatient costs for Hospital Services rendered to Secure Horizons Members by Participating Providers valued at the actual costs incurred by PacifiCare; , plus,. (ii) Other Hospital Services rendered to Secure Horizons Members by Participating Providers other than inpatient services, valued at actual costs incurred by PacifiCare; plus, (iii) The actual amount paid for Hospital Services, which are rendered by non-Participating Providers; minus, (iv) Amounts paid by PacifiCare under the Reinsurance Program, if any; minus, (v) Any and all amounts received from third parties for Hospital Services provided to Secure Horizons Members through coordination of benefits, work-related accidents or injuries, stop-loss and reinsurance payments and Medical Group Member Copayments.