Subcontractor Capitation Revenues Clause Samples

Subcontractor Capitation Revenues. The portion of payments --------------------------------- designated for physicians, optometrists or other medical or optometric services that will be Subcontractor Costs (e.g., reinsurance, hospitalization, surgical facility fees, optical dispensary services, etc.), including incentive bonuses or penalties, and an estimate for incurred but not reported claims; Subcontractor Capitation Revenues shall not be Professional Services Revenues. Subject to the approval of the Policy Board, Business Manager shall develop and implement an appropriate allocation methodology for each Capitation/Case Rate Revenues contract.