CAP Provider


A healthcare provider who has entered into a contract with BCBSKS. This provider has agreed to submit all claims and to accept our maximum allowable payment -MAP amount as payment in full, looking to the patient for only deductible, coinsurance, copayments, member contract indemnified payment limitation balances and non-covered service amounts. BCBSKS, in turn, will pay the provider directly and in a timely manner.