Common use of A dditional Obligations of PPO Providers Clause in Contracts

A dditional Obligations of PPO Providers. i. The PPO Provider or Premier Provider must accept assignment of Benefits, meaning these Providers will be paid directly after satisfaction of the Deductible and Enrollee Coinsurance. The Enrollee does not have to pay all the dental charges while at the dental office and then submit the claim for reimbursement. ii. The PPO Provider or Premier Provider will complete the dental Claim Form and submit it to the dental plan for reimbursement. iii. The PPO Provider will accept contracted fees as payment in full for covered services and will not balance bill if there is a difference between Submitted Fees and PPO Contracted Fees.