Common use of Claims Against Health Plan Companies and Others (Payors) Clause in Contracts

Claims Against Health Plan Companies and Others (Payors). Except as required by a Plan Summary, Doctor shall under no circumstance xxxx or attempt to collect (for any Chiropractic Service covered under a Benefit Contract) from a health plan company, any third party, including without limitation (i) any insurer or other Payor on behalf of an Enrollee, (ii) any alleged tort feasor, or (iii) such alleged tort feasor’s insurer or other Payor. However, Doctor shall be responsible for collecting applicable deductibles or copayments, if any, from Enrollees, as specified in Article II, sections 5 and 6.

Appears in 4 contracts

Samples: Agreement, Agreement, Agreement

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Claims Against Health Plan Companies and Others (Payors). Except as required by a Plan Summary, Doctor shall under no circumstance xxxx bill or attempt to collect (for any Chiropractic Service covered under a Benefit Contract) from a health plan company, any third party, including without limitation (i) any insurer or other Payor on behalf of an Enrollee, (ii) any alleged tort feasor, or (iii) such alleged tort feasor’s insurer or other Payor. However, Doctor shall be responsible for collecting applicable deductibles or copayments, if any, from Enrollees, as specified in Article II, sections 5 and 6.

Appears in 3 contracts

Samples: Agreement, Agreement, Agreement

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Claims Against Health Plan Companies and Others (Payors). Except as required by a Plan Summary, Doctor shall under no circumstance xxxx bill or attempt to collect (for any Chiropractic Service covered under a Benefit Contract) from a health plan company, any third party, including without limitation (i) any insurer or other Payor on behalf of an Enrollee, (ii) any alleged tort feasortortfeasor, or (iii) such alleged tort feasortortfeasor’s insurer or other Payor. However, Doctor shall be responsible for collecting applicable deductibles or copaymentsco- payments, if any, from Enrollees, as specified in Article II, sections 5 and 6.

Appears in 2 contracts

Samples: Membership and Participating Provider Agreement, Agreement

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