Common use of Consequences for failure to adhere to Customer protection requirements Clause in Contracts

Consequences for failure to adhere to Customer protection requirements. If Facility collects payment from, brings a collection action against, or asserts a lien against a Customer for Covered Services rendered (other than for the applicable co-payment, deductible or coinsurance), contrary to section 6.7 or 6.8 of this Agreement, Facility shall be in breach of this Agreement. This section 6.9 will apply regardless of whether Customer or anyone purporting to act on Customer’s behalf has executed a waiver or other document of any kind purporting to allow Facility to collect such payment from Customer. In the event of such a breach, Payer may deduct, from any amounts otherwise due Facility, the amount wrongfully collected from Customers, and may also deduct an amount equal to any costs or expenses incurred by the Customer, United or Payer in defending the Customer from such action and otherwise enforcing sections 6.7 through 6.9 of this Agreement. Any amounts deducted by Payer in accordance with this provision shall be used to reimburse the Customer and to satisfy any costs incurred. The remedy contained in this paragraph does not preclude United from invoking any other remedy for breach that may be available under this Agreement.

Appears in 4 contracts

Samples: Facility Participation Agreement (Celera CORP), Facility Participation Agreement (Celera CORP), Facility Participation Agreement (Celera CORP)

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Consequences for failure to adhere to Customer protection requirements. If Facility Medical Group collects payment from, brings a collection action against, or asserts a lien against a Customer for Covered Services rendered (other than for the applicable co-paymentcopayment, deductible or coinsurance), contrary to section 6.7 7.7 or 6.8 7.8 of this Agreement, Facility Medical Group shall be in breach of this Agreement. This section 6.9 7.9 will apply regardless of whether Customer or anyone purporting to act on Customer’s behalf has executed a waiver or other document of any kind purporting to allow Facility Medical Group to collect such payment from Customer. In the event of such a breach, Payer may deduct, from any amounts otherwise due FacilityMedical Group, the amount wrongfully collected from Customers, and may also deduct an amount equal to any costs or expenses incurred by the Customer, United or Payer in defending the Customer from such action and otherwise enforcing sections 6.7 7.7 through 6.9 7.9 of this Agreement. Any amounts deducted by Payer in accordance with this provision shall be used to reimburse the Customer and to satisfy any costs incurred. The remedy contained in this paragraph does not preclude United from invoking any other remedy for breach that may be available under this Agreement.

Appears in 2 contracts

Samples: Participation Agreement (Whiteglove Health Inc), Participation Agreement (Whiteglove House Call Health Inc)

Consequences for failure to adhere to Customer protection requirements. If Facility Participating Provider collects payment from, brings a collection action against, or asserts a lien against a Customer for Covered Services rendered (other than for the applicable co-paymentcopayment, deductible or coinsurance), contrary to section 6.7 8.7 or 6.8 8.8 of this Agreement, Facility shall Participating Provider will be in breach of this Agreement. This section 6.9 8.9 will apply regardless of whether Customer or anyone purporting to act on Customer’s behalf has executed a waiver or other document of any kind purporting to allow Facility Participating Provider to collect such payment from Customer. In the event of such a breach, Payer may deduct, from any amounts otherwise due FacilityParticipating Provider, the amount wrongfully collected from Customers, and may also deduct an amount equal to any costs or expenses incurred by the Customer, United or Payer in defending the Customer from such action and otherwise enforcing sections 6.7 8.7 through 6.9 8.9 of this Agreement. Any amounts deducted by Payer in accordance with this provision shall will be used to reimburse the Customer and to satisfy any costs incurred. The remedy contained in this paragraph does not preclude United from invoking any other remedy for breach that may be available under this Agreement.

Appears in 2 contracts

Samples: Organization Participation Agreement, Organization Participation Agreement

Consequences for failure to adhere to Customer protection requirements. If Facility Medical Group collects payment from, brings a collection action against, or asserts a lien against a Customer for Covered Services rendered (other than for the applicable co-payment, deductible or coinsurance), contrary to section 6.7 7.7 or 6.8 7.8 of this Agreement, Facility Medical Group shall be in breach of this Agreement. This section 6.9 7.9 will apply regardless of whether Customer or anyone purporting to act on Customer’s behalf has executed a waiver or other document of any kind purporting to allow Facility Medical Group to collect such payment from Customer. In the event of such a breach, Payer may deduct, from any amounts otherwise due FacilityMedical Group, the amount wrongfully collected from Customers, and may also deduct an amount equal to any costs or expenses incurred by the Customer, United or Payer in defending the Customer from such action and otherwise enforcing sections 6.7 7.7 through 6.9 7.9 of this Agreement. Any amounts deducted by Payer in accordance with this provision shall be used to reimburse the Customer and to satisfy any costs incurred. The remedy contained in this paragraph does not preclude United from invoking any other remedy for breach that may be available under this Agreement.

Appears in 1 contract

Samples: Medical Group Participation Agreement

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Consequences for failure to adhere to Customer protection requirements. If Facility Medical Group collects payment from, brings a collection action against, or asserts a lien against a Customer for Covered Services rendered (other than for the applicable co-payment, deductible or coinsurance), contrary to section 6.7 7.7 or 6.8 7.8 of this Agreement, Facility shall Medical Group will be in breach of this Agreement. This section 6.9 7.9 will apply regardless of whether the Customer or anyone purporting to act on the Customer’s behalf has executed a waiver or other document of any kind purporting to allow Facility Medical Group to collect such payment from the Customer. In the event of such a breach, Payer may deduct, from any amounts otherwise due FacilityMedical Group, the amount wrongfully collected from Customers, and may also deduct an amount equal to any costs or expenses incurred by the Customer, United or Payer in defending the Customer from such action and otherwise enforcing sections 6.7 7.7 through 6.9 7.9 of this Agreement. Any amounts deducted by Payer in accordance with this provision shall will be used to reimburse the Customer and to satisfy any costs incurred. The remedy contained in this paragraph does not preclude United from invoking any other remedy for breach that may be available under this Agreement.

Appears in 1 contract

Samples: Medical Group Participation Agreement

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