Negotiated Fee definition

Negotiated Fee. , shall mean a charge agreed to between the Scheme and dispensers and preferred providers in respect of the dispensing of registered medicines; 4.32 “other immediate family”, shall mean a member’s parent(s) (including an adoptive parent) and siblings. 4.33 “partner”, shall mean a person with whom the member has a committed and serious relationship akin to a marriage based on objective criteria of mutual dependency and a shared and common household, irrespective of the sex of either party. 4.34 “person”, shall mean a citizen or permanent resident of the Republic of South Africa or a foreign national who, in the sole discretion of the Board, is accepted as being eligible to become a member or a dependant beneficiary.[Added w.e.f. 1 September 2007] 4.35 “pre-existing sickness condition”, shall mean a sickness condition for which medical advice, diagnosis, care or treatment was recommended or received within the twelve-month period ending on the date on which an application for membership was made. 4.36 “prescribed minimum benefit condition”, shall mean a condition contemplated in the Diagnosis and Treatment pairs listed in Annexure A or any emergency medical condition.

Negotiated Fee means a lump sum monetary amount negotiated and agreed upon by DCAS and the Consultant for payment of work. In no event shall a Negotiated Fee exceed the amount that would be calculated by applying the Fee Curve to the construction cost of work to be designed.

Negotiated Fee means the fee specified in a written contract for professional services entered into in accordance with W.S. 9-23-106;

Examples of Negotiated Fee in a sentence

• However, You may receive a bill or be asked to pay all or a portion of the Negotiated Fee Rate to the extent You have a Deductible, Copayment, or Coinsurance.

• Member Cost Share For certain Covered Services, You may be required to pay all or a part of the Negotiated Fee Rate as Your Cost Share amount (Deductible, Copayment, and/or Coinsurance).

• Coinsurance is the percentage amount of the Negotiated Fee Rate that You are responsible for as stated in the SUMMARY OF BENEFITS.

• Because In-Network Providers have agreed to accept the Negotiated Fee Rate as payment in full for those Covered Services, they should not send You a bill or collect amounts above the Negotiated Fee Rate.

• The Negotiated Fee Rate may vary depending upon whether the Provider is an In-Network Hospital, an In-Network Provider (for Providers other than Hospitals), or Other Eligible Provider, and may vary between Providers within the same category.

• In-Network Providers: For Covered Services performed by an In-Network Provider, the Negotiated Fee Rate for Your Agreement is the rate the Provider has agreed with Oscar to accept as reimbursement for the Covered Services.

• Once the Out of Pocket Maximum has been met for one (1) Member, Xxxxx will provide coverage at 100% of the Negotiated Fee Rate for Covered Services for the remainder of that Benefit Period for that Member.

• If You receive a bill or collect amounts above the Negotiated Fee Rate, please call Us at 1-855-Oscar-55 or write to Us at: Oscar Health Plan of California 0000 Xxxxxx Xxxx Blvd.

• Your Copayment and Coinsurance may be a fixed dollar amount per day, per visit, and/or it may be a percentage of the Negotiated Fee Rate.

• While Your Coinsurance financial responsibility may also be collected by the Provider at the time services are performed, the Provider may choose to bill You for these services after they have submitted the claim to Us. Cost sharing for services with Copayments is the lesser of the Copayment amount or Negotiated Fee Rate.

More Definitions of Negotiated Fee

Negotiated Fee means a total annual payment equal to the Fixed FILOT Amount as paid by the Company during Fee Term, in those years for which a FILOT Payment is due hereunder. However, in the event of an Overage Investment (as provided in Section 5.4 hereunder), “Negotiated Fee” shall mean the Company’s total annual payment of the Adjusted FILOT Amount for those years where a FILOT Payment is due hereunder.

Negotiated Fee means the charge negotiated and agreed to with the service provider concerned.