Orange County NC Website
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 />