2010-06-07_(2).pdf - 19318.8K - BridgeportCT.gov
2010-06-07_(2).pdf - 19318.8K - BridgeportCT.gov
2010-06-07_(2).pdf - 19318.8K - BridgeportCT.gov
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CIGNA HealthCare Performance Guarantee Agreement<br />
Customer Bridgeport City<br />
BOE<br />
Effective Date July 1 <strong>2010</strong><br />
Account Number s involved in Performance Guarantee s 3213172<br />
R@<br />
CIGNA<br />
EXHIBIT B3<br />
DISCOUNT<br />
Table 1<br />
Networks<br />
Service Area Tarlet Network ID Number Service Area Discount<br />
AL HUNT<br />
AL353 28 6<br />
AL SALA AL354 43 6<br />
AZ PHOENIX RURAL<br />
AZ PHOENIX IPA<br />
CA SACRAMENTO<br />
CA CENTRAL VALLEY<br />
CT HARTFORD<br />
AZ300A 38 5<br />
AZ300B 60 0<br />
CA350B 47 3<br />
CA350H 49 9<br />
CT300A 49 3<br />
CT SOUTHERN CONNECTICUT CT300B 49 3<br />
CT WINDHAM CT300C 49 3<br />
FL ORLANDO PROPER FL305A 62 0<br />
FL<br />
LAKE VOLUSIA FL305B 584<br />
FL OCALA GAINESVILLE FL305C 53 3<br />
FL JACKSONVILLE FL305D 53 0<br />
FL COCOA BEACH<br />
FL305E 56 8<br />
FL FORT MYERS FL305F 54 3<br />
FL TAMPA BAY EXPANSION FL305G 59 3<br />
FL TAMPA IPA FL305H 59 0<br />
FL BROWARD COUNTY FU05I 65 8<br />
FL PALM BEACH COUNTY FL305K 67 7<br />
FL MARTIN COUNTY FL305L 63 1<br />
FL PENSACOLA FL305N 49 1<br />
FL SARASOTA FU05S 55 8t<br />
FL VOLUSIA FL305V 562<br />
GA ATLANTA GA300A 60 6<br />
GA NE GEORGIA GA300B 56 3<br />
GA AUGUSTA AIKEN GA300D 552<br />
GA SAVANNAH OUTER GA300H 55<br />
HI HAWAll MDX HI350 419<br />
ID IDAHO PHYSICIAN NETWORK ID352 22 0<br />
MA WESTERN<br />
MA3001 46 0<br />
MA SOUTHEAST MA3005 43 1<br />
VA FAIRFAX<br />
MD300B 52 1<br />
MD OTHER MD MD300C 42 7<br />
VA OTHER VIRGINIA MD300E 46 8<br />
OH TOLEDO MI350C 504<br />
MI DETROIT METRO HAP MI356A 43 7<br />
MO ST LOUIS M0300 58 1<br />
NC TRIANGLE NC300A 50 7<br />
NC CHARLOTTE NC300B 46 9<br />
NC TRIAD NC300C 40 9<br />
OS 28 20 0<br />
<strong>2010</strong> Perfonnance Guarantee Page 17