Amounts Billed definition

Amounts Billed means paid Claims in addition to the combined amount of BlueCard Fees and AAC, if any. AAC and/or BlueCard Fees shall only be included as “Amounts Billed” where such AAC or fees are paid in association with the types of Claims specified on the Exhibit and in settlement of Claims for any benefits under the Plan, and are:

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Amounts Billed means the amount that Group shall reimburse and pay BCBSM for Claims which have been processed and paid by BCBSM or another BCBS Plan under the terms of this Contract, Pharmacy Benefits if applicable, the Administrative Fee set forth in Schedule A, any Additional Administrative Compensation (“AAC”) as set forth in Schedule A, Michigan Claims Tax, Pharmacy benefit fees as set forth in Schedule A, Health Care Provider Interest, and other fees and charges as set forth in Schedules A and B.

Amounts Billed means the amount the State owes in accordance with BCBSM's standard operating procedures for payment of Enrollees' claims.

Examples of Amounts Billed in a sentence

Time to Dispute Amounts Billed by Company: Client may, in good faith, dispute any Disputed Amount by submitting a written notice of such dispute along with reasonable supporting documentation within seven (7) calendar days of the date of the initial invoice on which the Disputed Amount appears, failing which Client waives all rights to dispute such Disputed Amount and to file any claim.
If Amounts Billed and Paid during months 55 through 66 of the Term exceed $30,000,000, then upon advance written notice to Company, Customer may extend the Term of this Agreement and any applicable Schedules on the same terms and conditions for one (1) separate and additional renewal period of 12 months.
If Amounts Billed and Paid during months 43 through 54 of the Term exceed $30,000,000, then upon advance written notice to Company, the Customer may extend the Term of this Agreement and any applicable Schedules on the same terms and conditions for one (1) separate and additional renewal period of 12 months.
On the Effective Date, the Company shall issue to ICE, or any person designated by ICE, 5,000,000 restricted shares of the Company’s common stock, having a par value of $0.001 per share (the “Company Shares”).
The Group will immediately assume: all risks; all financial obligations, including but not limited to Amounts Billed, court costs, and attorney's fees and all other liabilities BCN may assume or which might otherwise attach with respect to processing HRA Coverage pursuant to this Contract.

More Definitions of Amounts Billed

Amounts Billed means the amount that Group shall reimburse and pay BCBSM for Claims which have been processed and paid by BCBSM or another BCBS Plan under the terms of this Contract.

Related to Amounts Billed

Amounts receivable by the Trust in a foreign currency shall be reported to the Evaluator who shall convert the same to U.S. dollars based on current exchange rates, in the same manner as provided in Section 4.01(b) or 4.01(c), as applicable, for the conversion of the valuation of foreign Equity Securities, and the Evaluator shall report such conversion with each Evaluation made pursuant to Section 4.01."
Amount Generally Billed or “AGB” means, with respect to emergency and other medically necessary care, the amount generally billed to individuals who have insurance covering such care.
Advance Reimbursement Amounts As defined in Section 3.29 hereof.
Fixed Amounts has the meaning assigned to such term in Section 1.07(b).
Balance billing means charging or collecting an amount in excess of the Medicaid, Medicare, or contracted reimbursement rate for services covered under a Medicaid, Medicare or employer sponsored beneficiary’s plan. “Balance Billing” does not include charging or collecting deductibles or copayments and coinsurance required by the beneficiary’s plan.