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2002 NS Revenue- Blue Cross and Blue Shield of North Carolina Ambulance Service Contract
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2002 NS Revenue- Blue Cross and Blue Shield of North Carolina Ambulance Service Contract
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Last modified
7/20/2017 10:32:15 AM
Creation date
4/16/2012 12:56:19 PM
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Template:
BOCC
Date
9/17/2002
Meeting Type
Regular Meeting
Document Type
Agreement
Agenda Item
8f
Document Relationships
Agenda - 09-17-2002 - 8f
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\Board of County Commissioners\BOCC Agendas\2000's\2002\Agenda - 09-17-2002
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7 <br /> EXHIBIT 1 <br /> Provider Payment and Billing <br /> A. Provider Payment. Consistent with Section 2.4 of this Agreement,Provider agrees Provider <br /> shall be paid by BCBSNC as follows: <br /> A.1 Usual. Customary and Reasonable(UCR)Reimbursement. For all Traditional and <br /> Comprehensive Major Medical(CMM)plans and Preferred Care(CostWise),except Blue Edge as <br /> described in Section A.2 of this Exhibit 2.4,BCBSNC agrees to pay and Provider agrees to accept as <br /> payment in full for services delivered to Members,Usual,Customary and Reasonable reimbursement as <br /> defined in the booklet"Usual,Customary and Reasonable,an Explanation for Doctors". <br /> A.2 Charges. For Blue Edge CMM plans,BCBSNC agrees to pay and Provider agrees to <br /> accept as payment in full for services delivered to Members,usual billed charge. <br /> A.2 Fee Schedule. For all Health Maintenance Organization(HMO),Point of Service <br /> (POS)and Preferred Provider Organization(PPO)plans,except Preferred Care(CostWise),BCBSNC <br /> agrees to pay and Provider agrees to accept as payment in full for services delivered to Members,the lesser <br /> of Provider's usual charge or the amount specified in BCBSNC's fee schedule. <br />
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