Compensation Method. As compensation for rendering Contracted Services under this Addendum D, PPG shall be paid in accordance with the rates set forth in Addendum E. Such compensation shall be paid within the time and subject to the billing requirements set forth in this Agreement. The above notwithstanding, for self-insured and other such Payors, FHS shall not be obligated to pay all or any portion of any PPG claim on a Payor’s behalf unless and until FHS has received sufficient funds from the applicable Payor to cover such claim. In the event such Payor fails to provide funds to FHS, PPG may seek payment from Member up to the rates specified in Addendum E, unless prohibited by applicable law. In the event that a PPG Participating Physician enters into an independent contract arrangement with FHS for PPO services, the rates established in such independent Physician Service Agreement shall prevail, and claims will be adjudicated according to the fee schedule established in said independent Agreement.
Appears in 3 contracts
Samples: Provider Services Agreement (Prospect Medical Holdings Inc), Provider Services Agreement (Prospect Medical Holdings Inc), Provider Services Agreement (Prospect Medical Holdings Inc)
Compensation Method. As compensation for rendering Contracted Services under this Addendum D, PPG shall be paid in accordance with the rates set forth in Addendum E. Such compensation shall be paid within the time and subject to the billing requirements set forth in this Agreement. The above notwithstanding, for self-insured and other such Payors, FHS shall not be obligated to pay all or any portion of any PPG claim on a Payor’s behalf unless and until FHS has received sufficient funds from the applicable Payor to cover such claim. In the event such Payor fails to provide funds to FHS, . PPG may seek payment from Member up to the rates specified in Addendum E, E. unless prohibited by applicable law. In the event that a PPG Participating Physician enters into an independent contract arrangement with FHS for PPO services, the rates established in such independent Physician Service Agreement shall prevail, and claims will be he adjudicated according to the fee schedule established in said independent Agreement.
Appears in 1 contract
Samples: Provider Services Agreement (Prospect Medical Holdings Inc)
Compensation Method. As compensation for rendering Contracted Services under this Addendum D, D. PPG shall be paid in accordance with the rates set forth in Addendum E. Such compensation shall be paid within the time and subject to the billing requirements set forth in this Agreement. The above notwithstanding, for self-insured and other such Payors, FHS shall not be obligated to pay all or any portion of any PPG claim on a Payor’s behalf unless and until FHS has received sufficient funds from the applicable Payor to cover such claim. In the event such Payor fails to provide funds to FHS, . PPG may seek payment from Member up to the rates specified in Addendum E, unless prohibited by applicable law. In the event that a PPG Participating Physician enters into an independent contract arrangement with FHS for PPO services, the rates established in such independent Physician Service Agreement shall prevail, and claims will be adjudicated according to the fee schedule established in said independent Agreement.
Appears in 1 contract
Samples: Provider Services Agreement (Prospect Medical Holdings Inc)