PROVIDER NETWORKS Sample Clauses

PROVIDER NETWORKS. Florida Blue's Health Care Provider Networks are subject to change and may be modified at any time during the term of this Agreement without notice to or consent of the Group or any Group Member. BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC. D/B/A FLORIDA BLUE & HEALTH OPTIONS, INC. THE SCHOOL BOARD OF CLAY COUNTY, FLORIDA By: By: Name: Xxxxx X. Xxxxxx Name: Title: Vice President and Chief Underwriting Officer Title: (typed) Date: Date:
Sample 1
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PROVIDER NETWORKS. Florida Blue's Health Care Provider Networks are subject to change and may be modified at any time during the term of this Agreement without notice to or consent of the Group or any Group Member. BLUE CROSS & BLUE SHIELD OF FLORIDA, INC. d/b/a FLORIDA BLUE & HEALTH OPTIONS, INC. By: Name: Xxxxxx X. Xxxxxx, Esq. Title: Vice President, Commercial Segments Date: NASSAU COUNTY BOARD OF COUNTY COMMISSIONERS By: Name: Printed Title: Date: EXHIBIT A TO THE ANNUAL ACCOUNTING AND RETENTION AGREEMENT WITH NASSAU COUNTY BOARD OF COUNTY COMMISSIONERS GROUP NO. 30749 A. Premium rates effective: October 1, 2016 through December 31, 2017 Blue Options Plan 03769: Single: $718.23 E/S: $1,487.49 E/C: $1,350.95 Family: $2,281.54 Blue Options Plans 05192-05193: Single: $485.39 E/S: $1,004.73 E/C: $912.53 Family: $1,541.09 Blue Care Plan 60: Single: $658.36 E/S: $1,362.76 E/C: $1,237.65 Family: $2,090.19 Blue Care Plan 46: Single: $586.56 E/S: $1,214.18 E/C: $1,102.73 Family: $1,862.33 B. Administrative charges effective: October 1, 2016 through December 31, 2018 12.15% of earned premium C. Pooling effective: October 1, 2016 through December 31, 2018 Pooling Level: $195,000 Per Individual Pooling Charges: 6.50% of earned premium
Sample 1
PROVIDER NETWORKS. Blue Cross Blue Shield of Massachusetts The Blue Cross Blue Shield Network (Network) is a network of physicians, hospitals and other health care providers. The Network is responsible for recruiting, credentialing, and communicating with providers. Providers in the Network agree to accept the allowable charge fees set by the network and agree to file claims for participants. Under the Blue Choice New England Plan 2, participants may choose any covered participating or non-participating provider, primary care or specialist; however, utilizing providers that participate in the Network provides participants the maximum benefits available through the Plan. Participants choosing to use providers that do not participate in the Network are responsible for paying any fees charged over the allowable charge, in addition to paying a higher annual deductible and higher co-insurance amounts for covered services. Under Network Plans, participants, in the absence of an emergency, or in the absence of pre- approval from Blue Cross Blue Shield, must chose in-network providers or they may be responsible for the full cost or an additional cost of any service.
Sample 1
PROVIDER NETWORKS. BCBSF's Health Care Provider Networks are subject to change and may be modified at any time during the term of this Agreement without notice to or consent of the Group or any Group Member. BlueCross BlueShield Of Florida, Inc. St. Lucie County School Bd. By By Name Xxxxx Xxxxxx Name (Typed) Xxxxxxx X. Xxxxxx Title Vice President and Chief Underwriting Officer Title Superintendent Date Date EXHIBIT A TO THE ANNUAL ACCOUNTING AND RETENTION AGREEMENT WITH St. Lucie County School Bd. Group Number 24936 A. Premium rates effective: January 1, 2013 through December 31, 2013 BOPT 3748 BCH 706 BOPT O3769 BOPT O5180/05181 Single $606.86 $673.08 $552.84 $494.60 EE + 1 $1,359.62 $1,507.98 $1,238.62 $1,108.10 Family $1,728.76 $1,917.40 $1,574.90 $1,408.94 SP/Child $752.76 $834.90 $685.78 $613.50 SP & Child/(ren) $1,121.90 $1,244.32 $1,022.06 $914.34
Sample 1
PROVIDER NETWORKS. N.1. The Contractor shall provide a managed, stable, high-quality network, or networks, of individual and institutional health care providers which supplements the clinical services provided to MHS beneficiaries in MTFs and promotes access, quality, beneficiary satisfaction, and “best value health care” for the Government. (See the XXX, Appendix B for the definition of “best value health care.”) The network, or networks, shall be sufficient in number, mix, and geographic distribution of fully qualified providers to provide the full scope of benefits for which all Prime enrollees are eligible under this contract, as described in 32 CFR 199.4, 199.5, and 199. I 7. The Contractor shall provide copies of network provider agreements when requested by the Contracting Officer or Contracting Officer’s Representative (COR).
Sample 1
PROVIDER NETWORKS. Florida Blue Health Care Provider Networks are subject to change and may be modified at any time during the term of this Agreement without notice to or consent of the Group or any Group Member. SCSB 2018�98 (NEW) BLUE CROSS & BLUE SHIELD OF FLORIDA, INC. d/b/a FLORIDA BLUE & HEALTH OPTIONS, INC. By: JU_ C Ct_------ Name: Xxxxxx X. Xxxxxx, Esq. Title: Vice President, Commercial Segments Date: 1{I/'P/0 ...._- NAME OF GROUP SUWANNEE COUNTY� By: -:dZL?; Name: Printed Tltle: Date: Xxx X. Xxxxx Superintendent of Schools OCT 2 4 2017 "App BY_f..;_���Y=--\.��X.::===--
Sample 1
PROVIDER NETWORKS 
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Related to PROVIDER NETWORKS

  • Provider Network The Panel of health service Providers with which the Contractor contracts for the provision of covered services to Members and Out-of-network Providers administering services to Members.

  • Provider Services The Contractor’s system shall collect, process, and maintain current and historical data on program providers. This information shall be accessible to all parts of the MCMIS for editing and reporting.

  • NON-NETWORK PROVIDER is a provider that has not entered into a contract with us or any other Blue Cross and Blue Shield plan. For pediatric dental care services, non-network provider is a dentist that has not entered into a contract with us or does not participate in the Dental Coast to Coast Network. For pediatric vision hardware services, a non-network provider is a provider that has not entered into a contract with EyeMed, our vision care service manager.

  • Use of Verizon Telecommunications Services 2.1 Verizon Telecommunications Services may be purchased by Connectel under this Resale Attachment only for the purpose of resale by Connectel as a Telecommunications Carrier. Verizon Telecommunications Services to be purchased by Connectel for other purposes (including, but not limited to, Connectel’s own use) must be purchased by Connectel pursuant to other applicable Attachments to this Agreement (if any), or separate written agreements, including, but not limited to, applicable Verizon Tariffs.

  • Network Services Local Access Services In lieu of any other rates and discounts, Customer will pay fixed monthly recurring local loop charges ranging from $1,200 to $2,000 for TDM-based DS-3 Network Services Local Access Services at 2 CLLI codes mutually agreed upon by Customer and Company.

  • Special Service networks The following services must be received from special service network providers in order to be covered. All terms and conditions outlined in the Summary of Benefits apply.

  • Network PHARMACY is a retail, mail order or specialty pharmacy that has a contract to accept our pharmacy allowance for prescription drugs and diabetic equipment or supplies covered under this plan. NETWORK PROVIDER is a provider that has entered into a contract with us or other Blue Cross and Blue Shield plans. For pediatric dental care services, network provider is a dentist that has entered into a contract with us or participates in the Dental Coast to Coast Network. For pediatric vision hardware services, a network provider is a provider that has entered into a contract with EyeMed, our vision care service manager.

  • The Web Services E-Verify Employer Agent agrees to, consistent with applicable laws, regulations, and policies, commit sufficient personnel and resources to meet the requirements of this MOU.

  • Data Services In lieu of any other rates or discounts, the Customer will receive a discount of 20% for the following Data Services: Access: Standard VBS2 Guide local loop charges for DS1 and DS-3 Access Service.

  • Network Services Preventive care: 100% coverage. Preventive services include, but are not restricted to routine physical exams, routine gynecological exams, routine hearing exams, routine eye exams, and immunizations. A $100 single and $200 family combined annual deductible will apply to lab/diagnostic testing after which 100% coverage will apply. A $50 copay will apply to CT and MRI scans.

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