Contracted rate means the totalamount (including cost sharing) that a group health plan or health insurance issuer has contractually agreed to pay a participating provider, facility, or provider of air ambulance services for covered items and services, whether directly or indirectly, including through a third-party administrator or pharmacy benefit manager. Solely for purposes ofthis definition, a single case agreement, letter of agreement, or other similar arrangement between a provider, facility, or air ambulance provider and a plan or issuer, used to supplement the network of the plan or coverage for a specific participant or beneficiary in unique circumstances, does not constitute a contract.
Contracted rate is defined in Section 3.2.5.
Contracted rate means the fee or reimbursement amount for a network provider's services, treatments, or supplies as established by agreement between the provider and health benefit plan issuer.
Examples of Contracted rate in a sentence
Benefit - The Amount You Pay Based on the Contracted Rate • Standard scratch-resistant coating Once every 12 months.
Benefit - The Amount You Pay Based on the Contracted Rate Routine Vision Exam, including dilation, if professionally indicated Once every 12 months.
If prior Certification is not obtained, benefits will be reduced to 50% of the Contracted Rate through SELECT 2 and 50% of the Maximum Allowable Amount through SELECT 3.
Weekly Rate is the higher of the minimum rate set out herein or the Contracted Rate negotiated between the Producer and the Guild Member to be attributable to a work week of five (5) consecutive days in any consecutive seven (7) calendar days.
Contracted Rate is the higher of the applicable minimum rate (scale) provided for in the Schedules, or the negotiated rate inclusive of Over-scale, specified in the Guild Member’s Contract for Services.
More Definitions of Contracted rate
Contracted rate means the fee or reimbursement
Contracted rate means the rate negotiated by nib/IMAN with Private Hospitals which have agreements with us. There will be minimum out-of-pocket expenses for customers attending nib/IMAN agreement Private Hospitals.
Contracted rate means the amount the Provider has agreed to accept as payment under the Provider’s contract with a third party network vendor.
Contracted rate means charges for Voice Line, Electronic Key Line and/or ISDN Centrex – Custom. “Effective Rate” means the resulting rate for the Contributory Services after the Service Level Discount has been applied. Discounts shall begin thirty (30) days after the first full xxxx period following final signature, and will be applied on a monthly basis.” Commitment Level in Number of Lines Service Level Discount Contracted Rate for Voice Line Electronic Key line and/or ISDN Centrex Effective Rate 24,379 13.70% $ 6.80 $ 5.87 20,896 - 24,375 12.20% $ 6.80 $ 5.97 15,000 - 20,895 11.70% $ 6.80 $ 6.00 10,000 - 14,999 0.00% $ 7.80 $ 7.80 5,000 - 9,999 0.00% $ 8.30 $ 8.30 0 - 4,999 0.00% $ 8.80 $ 8.80
Contracted rate means the amount the Provider has agreed to accept as payment under the Provider’s contract with a third-party network vendor.
Contracted rate means the contracted and/or agreed upon reimbursement rate between Walgreens and the applicable Private Insurer and includes any Taxes, Eligible Patient co-pay, or other amounts that may be due from an Eligible Patient or Private Insurer or arise out of the coordination of 10/12/2022 Original (e) sent to X. Xxxxxx, X. Xxxx, X. Xxxxxxx, Purchasing dept. benefits, as applicable. The Contracted Rate is Walgreen’s proprietary and confidential information; therefore, Covered Entity acknowledges and agrees that it will not request, and Walgreens will not provide, the Contracted Rate or any information which may disclose or enable the Covered Entity to determine the Contracted Rate.
Contracted rate means the contracted and/or agreed upon reimbursement rate between Walgreens and the applicable Private Insurer and includes any Taxes, Eligible Patient co-pay, or other amounts that may be due from an Eligible Patient or Private Insurer or arise out of the coordination of benefits, as applicable. The Contracted Rate is Walgreen’s proprietary and confidential information; therefore, Covered Entity acknowledges and agrees that it will not request, and Walgreens will not provide, the Contracted Rate or any information which may disclose or enable the Covered Entity to determine the Contracted Rate.