AGREEMENT NOT TO CHARGE PATIENTS. The parties agree that all participating patients receiving services from contractor pursuant to this agreement shall be considered patients of CHC. All CHC patients that are referred to contractor should be provided treatment regardless of the patient’s insurance coverage. Patient’s coverage status will not be divulged to contractor by CHC. Accordingly, CHC shall be responsible for the billing of such patients, as applicable, as well as the billing of Federal, State and private payors, and the collection and retention of any and all payments. Contractor agrees not to bill, charge or collect from participating patients or payors any amount for any dental services provided under this agreement. If contractor should receive any payment from participating patients or payors for services provided hereunder, contractor agrees to remit such payment to CHC within ten (10) days of receipt. If services are services not covered an Appeal is denied, and the participating patient requests services by contractor under a payment plan, a waiver must be signed and received by CHC prior to scheduling subsequent appointments to provide said services. Patients who enter into a contract with contractor need to be advised that the patient may seek dental services from a dental provider of their choice prior to signing an agreement with contractor, and patient will sign a waiver of understanding that services provided by contractor are not covered services through CHC, incorporated and attached as Exhibit B.
AGREEMENT NOT TO CHARGE PATIENTS. The parties agree that all participating patients receiving services from contractor pursuant to this Agreement shall be considered patients of CHC. All CHC patients that are referred to contractor should be provided treatment regardless of the patient’s insurance coverage. Patient’s coverage status will not be divulged to contractor by CHC. Accordingly, CHC shall be responsible for the billing of such patients, as applicable, as well as the billing of Federal, State and private payors, and the collection and retention of any and all payments. Contractor agrees not to xxxx, charge or collect from participating patients or payors any amount for any dental services provided under this agreement. If contractor should receive any payment from participating patients or payors for services provided hereunder, contractor agrees to remit such payment to CHC within ten
