CHIP Requirements for Provider Agreements Sample Clauses

CHIP Requirements for Provider Agreements. Preferred Provider acknowledges and agrees that CHIP Requirements dictate that certain provisions are to be included in agreements between Highmark and Participating Providers who are designated to participate in Highmark CHIP Products covered under this Agreement. Those CHIP required provisions are contained herein as follows: 5.3.1 Notwithstanding any provision of the Provider Agreement to the contrary, Providers who render Provider Services to CHIP Members must submit all claims to Highmark within one hundred and eighty (180) days from the date of service or discharge. This is a requirement of CHIP on all participating managed care organizations including Highmark. 5.3.2 Preferred Providers must enroll each of their NPIs and service locations out of which they operate in the CHIP Program using the DHS PROMISe ID system. Claims will deny if the service location is not enrolled with a valid PROMISe ID before the enrollment deadline. Preferred Provider shall not bill, charge, collect a deposit from, seek compensation, remuneration, or reimbursement from, or have any recourse against Highmark, Health Plan, and/or Member or any persons acting on Member’s behalf for claims denied for lack of valid PROMISe ID. Provider agrees that this hold harmless provision shall survive the termination of this Agreement, regardless of the cause giving rise to the termination. In the event Highmark receives notice that Preferred Provider has received or collected money from a Member for any services rendered in violation of the terms of this section, Highmark may (1) require Preferred Provider to refund the amount to the Member; (2) treat the amount as an