Agenda - 05-17-2005-5k - Laserfiche WebLink

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AMBULANCE SERVICES AGREEMENT THIS AMBULANCE SERVICES AGREEMENT (the "Agreement") is entered into effective as of the Effective Date set forth hereafter in this Agreement, by and between Blue Cross and Blue Shield of North Carolina, an independent licensee of the Blue Cross and Blue Shield Association, and Orange County, North Cazolina, an ambulance services provider, (`Provider"), (hereafter refereed to collectively as the "parties"); WHEREAS BCBSNC is a hospital, medical and dental service corporation licensed by the State of North Carolina and/or by such other jurisdictions as maybe required bylaw or regulation to meet the obligations set forth in this Agreement; and WHEREAS Provider is a provider of ambulance services and is duly licensed, registered, certified, or otherwise authorized as required bylaw azld regulation, to provide ambulazice services in each jurisdiction in which such services are to be provided under this Agreement; and WHEREAS the parties to this Agreement seek to facilitate the efficient and cost- effective delivery of quality anbulance services to individuals covered under health benefit plans or otherwise entitled to provider network services made available or otherwise administered by BCBSNC; NOW THEREFORE, the parties, in consideration of the mutual covenants and agreements set forth herein, do hereby agree as follows: 1. GENERAL DEFINITIONS. 1.1 "BCBSNC" means, as applicable, any one or more of the following: (i) Blue Cross and Blue Shield of North Carolina; (ii) Personal Care Plan of North Carolina, Inc. ("PCP-NC"); (iii) any corporate parent, subsidiary or affiliate of BCBSNC azrd/or PCP-NC; and/or a,joint venturer) with BCBSNC and/or PCP-NC; and/or (iv) any other Blue Cross and Blue Shield plan for purposes of the Blue Card program or other program coordinated with BCBSNC. 1.2 "Group" means any party that has entered into a contract for health care and/or workers' compensation coverage and/or the administration of benefits and/or the provision of provider network services to eligible Members with any of the following: (i) BCBSNC; (ii) another Blue Cross and/or Blue Shield plan or corporate parent, subsidiary or affiliate thereof; and/or (iii) another health plan which has a reciprocity or other agreement with BCBSNC. 1.3 "Member" means an individual designated by a Group or by BCBSNC, as the case maybe, to be eligible for health benefit plan coverage and/or benefits and/or provider network services under BCBSNC's contracts with Groups and individuals. 1.4 "Covered Services" means the benefits and services, goods, equipment and supplies specified in the Benefit Plan to which Members are entitled in accordance with the terms and conditions thereof: We may compare the cost-effectiveness of