Covered Person Liability Calculation. Unless subject to a fixed dollar copayment, the calculation of the Covered Person’s liability on claims for Covered Services will be based on the lower of the participating provider's billed charges for Covered Services or the negotiated price made available to BCBSNE by the Host Blue.
Appears in 3 contracts
Samples: Administrative Services Agreement, Administrative Services Agreement, Administrative Services Agreement
Covered Person Liability Calculation. Unless subject to a fixed dollar copaymentCopayment, the calculation of the Covered Person’s liability on claims Claims for Covered Services will be based on the lower of the participating providerParticipating Healthcare Provider's billed charges for Covered Services or the negotiated price made available to BCBSNE Claim Administrator by the Host Blue.
Appears in 2 contracts
Samples: Administrative Services Agreement, Administrative Services Agreement