Examples of Provider fee in a sentence
But, we are not required to mail you written notice if the reason for cancellation is non-payment of the Provider fee, a material misrepresentation, or a substantial breach of duties by you relating to the covered property or its use.
Contract General Provisions – Section l “Insurance” is amended to include:A claim against the Provider may also include a claim for return of the unearned Provider fee.
Prior notice is not required if the reason for cancellation is nonpayment of the Provider fee or a material misrepresentation by You relating to the covered property or its use, or a substantial breach of Your duties relating to the covered Product or its use.
For Providers, the Allowed Amount will be the lesser of the Provider’s charge and an amount based on Our Participating Provider fee schedule or rate.
If a Provider routinely waives (does not require the Member to pay) an Deductible or Out-of-Pocket amount, Anthem will calculate the actual Provider fee or charge the fee or charge by the amount waived.