Common use of Negotiated Arrangements Clause in Contracts

Negotiated Arrangements. Instead of using the BlueCard Program, Blue Cross and Blue Shield of Alabama may process your member claims for covered healthcare services through Negotiated Arrangements. If Blue Cross and Blue Shield of Alabama and Employer have agreed that (a) Host Blue(s) shall make available (a) custom healthcare provider network(s) in connection with this agreement, then the terms and conditions set forth in our Negotiated Arrangement(s) for National Accounts with such Host Blue(s) shall apply. Member liability calculation will be based on the lower of either billed covered charges or negotiated price (refer to the description of negotiated price under Section A, BlueCard Program) that the Host Blue makes available to Blue Cross and Blue Shield of Alabama that allows your members access to negotiated participation agreement networks of specified participating healthcare providers outside of our service area.

Appears in 2 contracts

Sources: Group Health Benefits Contract, Group Health Benefits Contract