Blue Cross PPOSM (Prudent Buyer)
It is the payment towards the services billed by a provider combined with any applicable deductible, copayment or coinsurance. ... Non-PPO Providers—For non-emergency care, reimbursement amount is based on: an Anthem Blue Cross rate or fee schedule, a rate negotiated with the provider, information from a third party vendor, or billed charges. ... ................
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