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required by the Association to disseminate to Employer BlueCard Disclosure language, which BlueCard Disclosure language is included in Exhibit B, Section XII and included in the Plan of Benefits. Employer hereby agrees to include the BlueCard language, in its entirety, in Employer's Summary Plan Description (SPD) delivered to members, which BlueCard Disclosure language must be included in such SPD so that members are made aware of the additional/alternative provisions that apply to them with respect to claims that are processed under the BlueCard Program. Employer may incorporate the BlueCard Disclosure language in another document, provided that such other document is provided to members. Section II: Responsibilities of BCBSF A. BCBSF agrees to provide, either directly or indirectly, the following services to the Employer for administration of the Plan: (1) Claim Payments and Claim Control: While the Agreement is in effect, all claims for benefits under the Plan for which proof of claim is furnished, in form satisfactory to the BCBSF, shall be accepted for processing and payment or denial, as hereinafter provided. Claim services will be furnished in connection with the Plan as to those classes of persons as agreed to by BCBSF and the Employer. (2) Claim Processing: Contingent upon Employer's fulfillment of all its obligations under this Agreement, BCBSF will process claims incurred and timely submitted on or after the Effective Date. The claim must be received within ninety (90) days after the beginning of care or, if by a participating provider, within the filing period permitted under the participating provider's contract, however, failure to file the claim within such period will not prevent payment of benefits if the member shows that it was not reasonably possible to timely file the claim, provided the claim is filed as soon as is reasonably possible, in no event, except in the absence of legal capacity, no later than twelve (12) months from the date services were rendered. Claims will be adjudicated in the order received and will not be re -adjudicated due to out of sequence dates of services. A claim is "incurred" on the date the service or supply, giving rise to such claim, is rendered or furnished. A claim is deemed "paid" on the date the claim payment check is issued. Claims will be paid in accordance with information supplied ty Employer and received by BCBSF. BCBSF shall be entitled to rely upon information supplied by Employer. Employer acknowledges that BCBSF's Designated Agent may have incentive -based agreements with providers located in the State of South Carolina related to compensation for services provided as a part of a Value -Based Program. "Value -Based Program" and "VBP" mean a healthcare delivery model such as a patient -centered medical home ("PCMH"), accountable care organization ("ACO"), capitation arrangements or episode - based arrangements aimed at improving patient health quality and outcomes with respect to certain diseases and/or conditions. These services are facilitated with one or more local providers that is evaluated against cost and quality metrics/factors and is reflected in Provider payment. The VBP is described further in this Agreement and the Plan of Benefits. Pursuant to such compensation arrangements, the provider may be subject to performance or risk-based compensation including, but not limited to, withholds, bonuses, incentive payments, provider credits and member management fees. The provider incentive amount may be translated and passed to the Employer as part of the claims amount invoiced to the Employer. Often the compensation amount is determined after the medical service 7