Contracting ED Hospital definition
Examples of Contracting ED Hospital in a sentence
In such instances, reimbursement at Contracting ED Hospital rates shall be effective upon 10 receipt of the executed Agreement and shall not be retroactive.
For Emergency Services and Outpatient Hospital Services - No Contracting ED Hospital 17 shall be reimbursed more than seventy-five percent (75%) of CalOptima fee-for-service rates or 18 Allowable Costs, less the required co-payments, whichever is less.
For Emergency Services and Outpatient Hospital Services - No Contracting ED Hospital shall be reimbursed more than seventy-five percent (75%) of CalOptima fee-for-service rates or Allowable Costs, less the required co-payments, whichever is less.
For inpatient Hospital Services – No Contracting ED Hospital shall be paid more than seventy-five (75%) of the equivalent CalOptima reimbursement, or Allowable Costs, less applicable co-payments, whichever is less.
Any Hospital that does not become a Contracting ED Hospital or Contracting Hospital and 11 elects to provide any Hospital Services to any MSN Enrollee shall be reimbursed by COUNTY at the 12 Non-Contract Hospital rates.
For inpatient Hospital Services – No Contracting ED Hospital shall be paid more than 20 seventy-five (75%%) of the equivalent CalOptima reimbursement, or Allowable Costs, less applicable 21 co-payments, whichever is less.
Any Hospital that does not become a Contracting ED Hospital or Contracting Network 11 Hospital and elects to provide any Hospital Services to any MSN Enrollee shall be reimbursed by 12 COUNTY at the Non-Contract Hospital rates.
For inpatient Hospital Services – No Contracting ED Hospital shall be paid more than the 20 calculated Final Settlement, or Allowable Costs, less the required co-payments, whichever is less.
Any Hospital that does not become a Contracting ED Hospital or Contracting Hospital and 14 elects to provide any Hospital Services to any MSN Enrollee shall be reimbursed by COUNTY at the 15 Non-Contract Hospital rates.
For Emergency Services and Outpatient Hospital Services - No Contracting ED Hospital 17 shall be reimbursed more than seventy-five (75%) of CalOptima fee-for-service rates or Allowable 18 Costs, less the required co-payments, whichever is less.