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Host Blues may also bill BCBSF and/or its Designated Agent for care coordinator fees for provider services which we will pass on to Employer as follows: 1. PMPM billings; or 2. Individual claim billings through applicable care coordination codes from the most current editions of either Current Procedural Terminology (CPT) published by the American Medical Association (AMA) or Healthcare Common Procedure Coding System (HCPCS) published by the U.S. Centers for Medicare and Medicaid Services (CMS). As part of this Agreement, BCBSF and Employer will not impose member cost sharing for care coordinator fees. D. Return of Overpayments Recoveries from a Host Blue or its participating and nonparticipating providers can arise in several ways, including, but not limited to, anti -fraud and abuse recoveries, audits, utilization review refunds and unsolicited refunds. Recoveries will be applied so that corrections will be made, in general, on either a claim -by -claim or prospective basis. If recovery amounts are passed on a claim -by -claim basis from a Host Blue to BCBSF and/or its Designated Agent they will be credited to Employer. In some cases, the Host Blue will engage a third party to assist in identification or collection of recovery amounts. The fees of such a third party may be charged to Employer as a percentage of the recovery. E. Inter -Plan Programs: Federal/State Taxes/Surcharges/Fees In some instances, federal or state laws or regulations may impose a surcharge, tax or other fee that applies to self-funded accounts. If applicable, BCBSF and/or its Designated Agent will disclose any such surcharge, tax or other fee to Employer, which will be Employer's liability. F. Nonparticipating Providers Outside BCBSF's Designated Agent's Service Area (i.e. South Carolina) 1. Member Liability Calculation a. In General When covered healthcare services are provided outside of BCBSF's Designated Agent's service area (i.e. South Carolina) by nonparticipating providers, the amount(s) a member pays for such services will be based on either the Host Blue's nonparticipating healthcare provider local payment or the pricing arrangements required by applicable state law. In these situations, the member may be responsible for the difference between the amount that the nonparticipating provider bills and the payment BCBSF and/or its Designated Agent will make for the covered services as set forth in this paragraph. Payments for out -of -network emergency services will be governed by applicable federal and state law. b. Exceptions 34