Capitated Services definition

Capitated Services means those covered services that a PHP agrees to provide for a capitation payment under contract with the Authority.

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Capitated Services means services rendered by a provider through a contract in which payments are based upon a fixed monthly dollar amount for each enrollee.

Capitated Services means those covered services that an MCE agrees to provide for a capitation payment under contract with the Authority.

Examples of Capitated Services in a sentence

• PPG Capitated Services and Shared Risk Services provided or arranged through PPG.

• PPG shall compensate all providers who render PPG Capitated Services to Commercial HMO and Commercial POS Members assigned to PPG.

• In the event that PPG does not process and pay eligible claims submitted to PPG for Capitated Services within applicable time limits, HMO may pay such claims at the lesser of HMO’s contract rate with such provider, if any, PPG’s subcontract terms, or provider’s billed charges.

• A description of all Capitated Services provided through the Plan, in sufficient detail to enable the Participant or the Participant's representative, if appropriate, to understand the benefits available under the Plan.

• An explanation of the procedure for obtaining Capitated Services, including any requirements for service authorizations and/or referrals for specialty care and for other benefits not furnished by the Participant’s PCP.

More Definitions of Capitated Services

Capitated Services means services rendered by a provider through a contract in which payment are based upon a fixed dollar amount for each member on a monthly basis.

Capitated Services means services paid through a fixed amount of money per patient per unit of time paid in advance for the delivery of health care services. The actual amount of money paid is determined by the ranges of services that are provided, the number of patients involved, and the period of time during which the services are provided.

Capitated Services means those covered services that an Managed Care Entity (MCE) agrees to provide for a capitation payment under contract with the Authority.¶

Capitated Services means those Covered Services which are provided or arranged by Participating Providers in exchange for a fixed monthly payment per Enrollee.

Capitated Services means those covered services that an MCE agrees to provide for a capitation

Capitated Services means Contract Services for which (PACE Program) receives a capitated payment.

Capitated Services means those Covered Services that Contractor agrees to provide in the Statement of Work, Exhibit B, Part I through VI of this Contract, in exchange for a Capitation Payment.