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12/06/2016 (2)
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12/06/2016 (2)
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Last modified
12/10/2020 1:47:03 PM
Creation date
2/21/2017 1:24:25 PM
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Meetings
Meeting Type
BCC Regular Meeting
Document Type
Agenda Packet
Meeting Date
12/06/2016
Meeting Body
Board of County Commissioners
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However, if the member paid in full at the time of service, the member must submit a <br />claim to obtain reimbursement for covered healthcare services. Members must <br />contact Florida Blue to obtain precertification for non -emergency inpatient services. <br />• Outpatient Services <br />Physicians, urgent care centers and other outpatient providers located outside the <br />BlueCard service area will typically require members to pay in full at the time of <br />service. Members must submit a claim to obtain reimbursement for covered <br />healthcare services. <br />• Submitting a BlueCard Worldwide Claim <br />When members pay for covered healthcare services outside the BlueCard service <br />area, they must submit a claim to obtain reimbursement. For institutional and <br />professional claims, members should complete a BlueCard Worldwide International <br />claim form and send the claim form with the provider's itemized bill(s) to the <br />BlueCard Worldwide Service Center address on the form to initiate claims <br />processing. The claim form is available from Florida Blue, the BlueCard Worldwide <br />Service Center, or online at www.bluecardworldwide.com. If members need <br />assistance with their claim submissions, they should call the BlueCard Worldwide <br />Service Center at 1 800.810.BLUE (2583) or call collect at 1.804.673.1177, 24 hour s <br />a day, seven days a week. <br />2. BlueCard Worldwide Program -Related Fees <br />Employer understands and agrees to reimburse Florida Blue for certain fees and <br />compensation which we are obligated under applicable Inter -Plan Arrangement <br />requirements to pay to the Host Blues, to the Association and/or to vendors of Inter - <br />Plan Arrangement related services. The specific fees and compensation that are <br />charged to Employer under the BlueCard Worldwide Program are set forth in Exhibit B, <br />if applicable. Fees and compensation under applicable Inter -Plan Arrangements may <br />be revised from time to time. <br />3. Except as otherwise specifically noted in this Amendment, all other terms and conditions of the <br />Agreement shall remain unchanged and in f ull force and effect. <br />IN WITNESS WHEREOF, this Amendment has been executed by the duly authorized <br />representatives of the parties. <br />BLUE CROSS AND BLUE SHIELD INDIAN RIVER COUNTY BOARD <br />OF FLORIDA, INC. D/B/A FLORIDA OF COUNTY COMMISSIONERS <br />BLUE <br />By: <br />Title - <br />Date: <br />20160629 <br />By: <br />Title: <br />Date: <br />58 <br />
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