Common use of Provider Status Clause in Contracts

Provider Status. 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. 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. 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. 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. PO Box 1279 Culver City, CA 90232 Other Eligible Providers: These Providers do not enter into agreements with Us. However, You will be charged In-Network cost-sharing for the Covered Services received from these Providers. Please see the section titled WHAT IS COVERED - MEDICAL for additional information.

Provider Status. 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. 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. 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. 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. PO Box 1279 Culver City, CA 90232 Other Eligible Providers: These Providers do not enter into agreements with Us. However, You will be charged In-Network costCost-sharing Sharing for the Covered Services received from these Providers. Please see the section titled WHAT IS COVERED - MEDICAL for additional information.

Provider Status. 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. 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. 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. 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. PO Box 1279 Culver City, CA 90232 Other Eligible Providers: These Providers that do not enter into agreements with UsUs such as blood banks are Other Eligible Providers. However, You will be charged In-Network cost-sharing for the Covered Services services received from these Providers. Please see the section titled part WHAT IS COVERED - MEDICAL for additional information.