Assumptions and conditions (ABF) Zoe Center for Pediatric and Adolescent Health LLC
Effective June 1, 2025 through May 31, 2026
SIC Code: 8011
Anthem Balanced Funding (ABF) • Anthem appreciates your support during this exciting time as Provider Payment Innovation evolves and new value streams are created. We are committed to this transformation and early results have shown improvement in both quality outcomes and medical cost containment. Blue Distinction Total Care(SM) will continue to evolve and lead the way for payment innovation in the marketplace, delivering better health management for your members, and ensuring efficient use of your health care resources. • Please refer to the Statement of Benefits for detailed information on benefit attributes, especially for Tiered benefit designs or which services are before or after deductible. • Anthem reserves the right to re-rate or rescind the quote if there is inaccurate census information provided (incorrect birthdates, zip codes, misspelled names, etc.) • Any whole health savings credits that are provided and credited to the groups invoice are payable back to Anthem should the group terminate prior to the end of their 12 month contract. The amount payable will be prorated based on termination date.
Authorized Signature: _______________________________________________________________________________ Title: _____________________________________________________________________________________________ Date: _____________________________________________________________________________________________
Anthem Blue Cross and Blue Shield is the trade name of Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. Independent licensee of the Blue Cross and Blue Shield Association. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. - 0546032-03
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