Covered Person Hold Harmless. Unless the requirement is expressly waived in the applicable Payor Contract and except for applicable cost-sharing obligations of a Covered Person applicable to Covered Services furnished to the Covered Person, Physician agrees that in no event, including but not limited to, nonpayment, the applicable Payor’s insolvency, or breach of this Agreement, shall Physician xxxx, charge, collect a deposit from, seek payment, compensation, remuneration, or reimbursement for Covered Services from, or have any recourse against, a Covered Person or any person who may be acting on a Covered Person’s behalf, other than the applicable Payor. This Section 4.2 shall not prohibit collection of supplemental charges or copayments, deductibles, co-insurance or other cost- sharing amounts that are the obligation of the Covered Person in accordance with the terms of an applicable Product Description. Physician agrees that (a) the hold harmless provision in this Section 4.2 shall survive the termination of this Agreement regardless of the cause, and shall be construed to be for the benefit of Covered Persons, and (b) the hold harmless provision in this Section 4.2 supersedes any oral or written contrary agreement now or hereafter entered into between Physician and any Covered Person or any persons acting on a Covered Person’s behalf.
Covered Person Hold Harmless. Provider agrees that in no event including, but not limited to, non-payment by XXXX, MCNA insolvency, or breach of this Agreement, shall Provider bill, charge, collect a deposit from, seek compensation, remuneration or reimbursement from, or have any recourse against Covered Person for Covered Services provided pursuant to this Agreement. This provision shall not prohibit collection of any applicable copayments or other amounts that are the Covered Person’s financial responsibility. This provision shall survive termination or expiration of this Agreement for any reason, shall be construed for the benefit of Covered Persons, and supersedes any oral or written agreement entered into between the Provider and a Covered Person.
Covered Person Hold Harmless. For each Program approved by Physician Group, unless the requirement is expressly waived in the applicable Program Description, Physician Group hereby agrees that in no event, including, but not limited to, nonpayment, the applicable Payor’s insolvency, or breach of this Agreement, shall Physician Group or any Physician Group Participating Physician xxxx, charge, collect a deposit from, seek compensation, remuneration, or reimbursement for Covered Services from, or have any recourse against, a Covered Person or any person who may be acting on a Covered Person’s behalf other than the applicable Payor. This provision shall not prohibit Physician Group’s collection of deductibles, supplemental charges, or co-payments made in accordance with the terms of the Covered Person’s benefit plan. Physician Group further agrees that (i) the hold harmless provision in this Section shall survive the termination of this Agreement regardless of the cause, if any, giving rise to the termination and shall be construed to be for the benefit of Covered Persons and that (ii) the hold harmless provision in this Section supersedes any oral or written contrary agreement now existing or hereafter entered into between Physician Group and any Covered Person, or persons acting on his/her behalf under any Program approved by Physician Group.
Covered Person Hold Harmless. Out-of-Network Provider is prohibited from seeking or obtaining funding through fees or charges to a Covered Person receiving Covered Services, except as permitted or required by DHFS in 89 Ill. Admin. Code Part 125 and DHFS's Fee-For- Service Medicaid Program copayment policy then in effect, and subject to CCH’s election to charge copayments to the Covered Person. CCH does not charge copayments to the Covered Person for Covered Services, other than pharmacy copayments. Out-of-Network Provider acknowledges that imposing charges on the Covered Person in excess of those permitted violates Social Security Act § 1128B(d) (42 U.S.C. § 1320a-7b(d)) and may subject Out-of- Network Provider to criminal penalties. The hold harmless provision survives termination of this Single Case Agreement. (MCCN Contract §§ 5.34, 5.32.12, 7.8)
Covered Person Hold Harmless. Physician hereby agrees that in no event, including, but not limited to, nonpayment by Medicare or breach of this Agreement, shall Physician xxxx, charge, collect a deposit from, seek compensation, remuneration, or reimbursement for Covered Services from, or have any recourse against, a Covered Person or any person who may be acting on a Covered Person’s behalf other than Medicare. This provision shall not prohibit Physician’s collection of deductibles, supplemental charges, or co-pay- ments made in accordance with the terms of the Covered Person’s benefit plan.
Covered Person Hold Harmless. Provider shall not seek payment from a Covered Person for any Covered Services provided to the Covered Person within the terms of the State Medicaid Contract. In accordance with 42 CFR Part 447.15, as may be amended from time to time, the Covered Person is not liable to Provider for any services for which Subcontractor Health Plan is liable and as specified under the State’s relevant health insurance or managed care statutes, rules or administrative agency guidance. Provider shall also be prohibited from charging Covered Persons for missed appointments if such practice is prohibited under the State Contractor applicable law. Neither the State, the Agency nor Covered Persons shall be in any manner liable for the debts and obligations of Subcontractor or Health Plan and under no circumstances shall Provider, or any providers used to deliver services covered under the terms of the State Contract, charge Covered Persons for Covered Services. Provider shall look solely to Subcontractor and Health Plan for compensation for services rendered, with the exception of nominal cost sharing, pursuant to the Florida State Medicaid Plan and the Florida Coverage and Limitations Handbooks and in accordance with this Contract as follows:
(a) If a capitated, then to Subcontractor or Health Plan for compensation;
(b) If fee-for-service, then to the Agency or its fiscal agent, unless the service is a transportation service for which Health Plan receives a capitation payment from the Agency. For such capitated transportation services, Subcontractor and Health Plan shall require providers to look solely to Subcontractor or Health Plan. This provision shall survive any termination of the Agreement, including breach of the Agreement due to insolvency.
Covered Person Hold Harmless. Neither Provider nor its Subcontractors shall, in any event, including, without limitation, insolvency of ACO or HFN or breach of this Agreement, bill, charge, collect a deposit from, seek compensation or remuneration or reimbursement from, hold responsible, or otherwise have any recourse against any Covered Person or any other person acting on behalf on any Covered Person other than for Medicare cost sharing amounts or non-Covered Services. Provider agrees that Provider shall not maintain any action at law or equity against a Covered Person to collect sums owed to Provider pursuant to this Agreement other than for Member Costs or non-Covered Services. This Section 8 shall (a) survive the termination or expiration of this Agreement regardless of the cause giving rise to such termination and shall be construed to be for the benefit of Covered Persons; and
