HUMANA ADVANTAGE NETWORK Sample Clauses

HUMANA ADVANTAGE NETWORK. Group agrees to participate in ChoiceCare’s Humana Advantage Network and agrees to accept as payment in full from Payors for Covered Services rendered to Members covered under Plans offered by Payors with access to ChoiceCare’s Humana Advantage Network, [****] ChoiceCare’s (005-787) Fee Schedule or Group’s billed charges, whichever is less, less any Copayments due from Member. Physician agrees that in the event that Physician employs, subcontracts or independently contracts with or uses the services of a physician extender (that is, a physician assistant, advanced registered nurse practitioner, certified registered nurse anesthetist, certified nurse midwife, certified surgical assistant, certified registered nurse first assistant or such other similarly situated individual) who will be providing services to Members under the supervision of Physician, Physician shall notify ChoiceCare in writing, upon execution of this Agreement and at any time during the term of this Agreement when such physician extenders are employed, subcontracted or independently contracted with Physician, and the specific services that such physician extenders will be performing, prior to the provision of services to any Member. Physician represents that physician extenders employed by or under contract with Physician will comply with the terms and condition of this Agreement, maintain professional liability coverage and are appropriately licensed as required by applicable state and federal laws, rules and regulations. Physician acknowledges and agrees ChoiceCare retains the right to approve, suspend and/or terminate participation under this Agreement of any physician extender who will be providing services to Members. Payor, in its sole discretion, may reimburse Physician for services of such physician extenders rendered to Members covered under Plans offered by Payors with access to ChoiceCare’s Humana Advantage Network and not otherwise specified in paragraphs A above and/or C below, [****], whichever is less, less any Copayments due from Member. This payment provision applies solely to ChoiceCare’s Humana Advantage Network Alf other terms and conditions of this Agreement apply to Physician’s participation in ChoiceCare’s Humana Advantage Network.