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2021-350-EMS-E-WellCare Health Plans of NC Inc-Medicaid managed care
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2021-350-EMS-E-WellCare Health Plans of NC Inc-Medicaid managed care
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Last modified
7/20/2021 11:32:10 AM
Creation date
7/20/2021 11:31:26 AM
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Contract
Date
6/30/2021
Contract Starting Date
6/30/2021
Contract Ending Date
7/1/2021
Contract Document Type
Contract
Amount
$770,000.00
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<br /> <br /> Page 48 of 48 <br />4. Date of Service Requirements. Contracted Provider is required to identify each date of service on claims for <br />multiple dates of service. <br /> <br />5. Carve-Out Services. With respect to any “Carve-Out” Covered Services as contemplated in this Agreement, <br />any payment arrangement entered into between Provider and a third party vendor of such services shall supersede <br />compensation hereunder. <br /> <br />6. Payment under this Compensation Schedule. All payments under this Compensation Schedule are subject to <br />the terms and conditions set forth in the Agreement, the Provider Manual and any applicable billing manual and claim <br />processing policies. <br /> <br />Definitions: <br /> <br />a. Allowed Amount means the amount designated in this Compensation Schedule as the maximum amount <br />payable to a Contracted Provider for any particular Covered Service provided to any particular Covered <br />Person, pursuant to this Agreement or its Attachments. <br /> <br />b. Allowable Charges means a Contracted Provider’s billed charges for services that qualify as Covered <br />Services. <br /> <br />c. Cost-Sharing Amounts means any amounts payable by a Covered Person, such as copayments, cost- <br />sharing, coinsurance, deductibles or other amounts that are the Covered Person’s financial responsibility <br />under the applicable Coverage Agreement, if applicable. <br />DocuSign Envelope ID: 2EC1F0FD-FAF9-4B42-B52E-D419F55A6210
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