Common use of BCBSM Responsibilities Clause in Contracts

BCBSM Responsibilities. 2.1 BCBSM, or its representative, will make payment directly to PRACTITIONER for Covered Services. 2.2 BCBSM will pay PRACTITIONER for Covered Services in accordance with the reimbursement methodology set forth in Addendum “B.” 2.3 BCBSM will process PRACTITIONER’s Clean Claims submitted in accordance with this AGREEMENT in a timely fashion. 2.4 BCBSM will, without charge, supply PRACTITIONER with BCBSM guidelines and administrative information concerning billing requirements, benefits, utilization management and such other information as may be reasonably necessary for PRACTITIONER to deliver Covered Services to Members and be paid. As available, BCBSM may provide such information through electronic means via web-DENIS or the Internet. 2.5 BCBSM will maintain the confidentiality of Member information and records, in accordance with applicable federal and state laws and as set forth in Addendum “C.” BCBSM will indemnify and hold PRACTITIONER harmless from any claims or litigation brought by Members asserting breach of the BCBSM Confidentiality Policy. 2.6 BCBSM will establish a Provider and Professional Provider Contract Advisory Committee Process, as set forth in Addendum “D,” through which PRACTITIONERs may offer advice and consultation on administrative matters relating to this AGREEMENT. 2.7 BCBSM will provide a reconsideration appeal mechanism for PRACTITIONER, in accordance with Addendum “E,” should PRACTITIONER disagree with any claim adjudication or audit determination. 2.8 BCBSM and PRACTITIONER acknowledge that this AGREEMENT does not limit either party from entering into similar agreements with other parties.

BCBSM Responsibilities. 2.1 BCBSM, or its representative, will make payment directly to PRACTITIONER for Covered Services. 2.2 BCBSM will pay PRACTITIONER for Covered Services in accordance with the reimbursement methodology set forth in Addendum “B.” 2.3 BCBSM will process PRACTITIONER’s Clean Claims submitted in accordance with this AGREEMENT in a timely fashion. 2.4 BCBSM will, without charge, supply PRACTITIONER with BCBSM guidelines and administrative information concerning billing requirements, benefits, utilization management and such other information as may be reasonably necessary for PRACTITIONER to deliver Covered Services to Members and be paid. As available, BCBSM may provide such information through electronic means via web-DENIS or the Internet. 2.5 BCBSM will maintain the confidentiality of Member information and records, in accordance with applicable federal and state laws and as set forth in Addendum “C.” BCBSM will indemnify and hold PRACTITIONER harmless from any claims or litigation brought by Members asserting breach of the BCBSM Confidentiality Policy. 2.6 BCBSM will establish a Provider and Professional Provider Contract Relations Advisory Committee Process, as set forth in Addendum “D,” through which PRACTITIONERs may offer advice and consultation on administrative matters relating to this AGREEMENT. 2.7 BCBSM will provide a reconsideration appeal mechanism for PRACTITIONER, in accordance with Addendum “E,” should PRACTITIONER disagree with any claim adjudication or audit determination. 2.8 BCBSM and PRACTITIONER acknowledge that this AGREEMENT does not limit either party from entering into similar agreements with other parties.