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 3 contracts
Samples: Facility Participation Agreement (Celera CORP), Facility Participation Agreement (Celera CORP), Facility Participation Agreement (Celera CORP)
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: Medical Group Participation Agreement (Whiteglove Health Inc), Medical Group Participation Agreement (Whiteglove House Call Health Inc)