Determinations as to Covered Services. HCT shall retain the right and sole responsibility to determine whether a service is a Covered Service. Provider shall not xxxx or seek payment from a Member or other persons acting on the Member’s behalf for Covered Services rendered except:
Appears in 3 contracts
Samples: Participating Provider Agreement, Participating Provider Agreement, Participating Provider Agreement
Determinations as to Covered Services. HCT shall retain the right and sole responsibility to determine whether a service is a Covered Service. Provider Group shall not xxxx bill or seek payment from a Member or other persons acting on the Member’s behalf for Covered Services rendered except:
Appears in 2 contracts
Samples: Participating Group Agreement, Participating Group Agreement
Determinations as to Covered Services. HCT shall retain the right and sole responsibility to determine whether a service is a Covered Service. Provider Group shall not xxxx or seek payment from a Member or other persons acting on the Member’s behalf for Covered Services rendered except:
Appears in 2 contracts
Samples: Participating Group Agreement, Participating Group Agreement
