Cost Avoidance. 1. When the contractor is aware of health or casualty insurance coverage prior to paying for a health care service, it shall avoid payment by rejecting a provider's claim and directing that the claim be submitted first to the appropriate third party, or by directing its provider to withhold payments to a subcontractor.
Appears in 3 contracts
Samples: Amerigroup Corp, Centene Corp, Americhoice Corp
Cost Avoidance. 1. When the contractor is aware of health or casualty insurance coverage prior to paying for a health care service, it shall avoid payment by rejecting a provider's claim and directing that the claim be submitted first to the appropriate third party, or by directing its provider SUBCONTRACTOR to withhold payments to a subcontractor.PROVIDER FOR THE SAME PURPOSE,
Appears in 1 contract
Samples: Centene Corp
Cost Avoidance. 1. When the contractor is aware of health or casualty insurance coverage prior to paying for a health care service, it shall avoid payment by rejecting a provider's claim and directing that the claim be submitted first to the appropriate third party, or by directing its provider [Reserved] subcontractor to withhold payments to a subcontractor[Reserved] provider for the same purpose.
Appears in 1 contract
Samples: Amerigroup Corp
Cost Avoidance. 1. When the contractor is aware of health or casualty insurance coverage prior to paying for a health care service, it shall avoid payment by rejecting a provider's ’s claim and directing that the claim be submitted first to the appropriate third party, or by directing its provider subcontractor to withhold payments to a subcontractorprovider for the same purpose.
Appears in 1 contract
