Examples of Negotiated Arrangement in a sentence
Value-Based Programs may be delivered either through the BlueCard Program or a Negotiated Arrangement.
If Claim Administrator has entered into a Negotiated Arrangement with a Host Blue to provide Value-Based Programs to Employer’s Covered Persons, Claim Administrator will follow the same procedures for Value-Based Programs administration and Care Coordinator Fees as noted in BlueCard Program section.
We have included a factor for bulk distributions from Host Blues in your premium for Value-Based Programs when applicable under this agreement.Negotiated ArrangementsIf we have entered into a Negotiated Arrangement with Host Blue to provide Value-Based Programs to your members, we will follow the same procedures for Value-Based Programs as noted above for the BlueCard Program.
If we have entered into a Negotiated Arrangement with a Host Blue to provide Value- Based Programs on your behalf, we will follow the same procedures for Value-Based Programs administration and Care Coordinator Fees as noted above for the BlueCard Program.
Negotiated ArrangementsIf we have entered into a Negotiated Arrangement with a Host Blue to provide Value-Based Programs to yourmembers, we will follow the same procedures for Value-Based Programs as noted above for the BlueCard Program.
With respect to one or more Host Plans, instead of using the BlueCard Program, Claim Administrator may process Employer’s Covered Persons’ Claims for Covered Services through a Negotiated Arrangement.
If Blue Cross and Blue Shield of Texas enters into a Negotiated Arrangement with a Host Blue to provide Value-Based Programs to Employer on your behalf, Blue Cross and Blue Shield of Texas will follow the same procedures for Value-Based Program administration and Care Coordination Fees as noted in the BlueCard Program section.
Value-Based Programs: Negotiated (non–BlueCard Program) Arrangements If Anthem has entered into a Negotiated Arrangement with a Host Blue to provide Value-Based Programs to the Employer on Your behalf, Anthem will follow the same procedures for Value-Based Programs administration and Care Coordinator Fees as noted above for the BlueCard Program.
Value-Based Programs under Negotiated ArrangementsIf BCI has entered into a Negotiated Arrangement with a Host Blue to provide Value-Based Programs to the Plan Sponsor’s Participants, BCI will follow the same procedures for Value-Based Programs administration and Care Coordination Fees as noted in the BlueCard Program section.