Common use of Enrollee Billing Clause in Contracts

Enrollee Billing. Practice shall xxxx and collect from Enrollee all copayments, coinsurance and deductibles as specified in the Enrollee’s Health Benefit Plan. Except as permitted by this Section, neither Practice nor Participating Physicians shall xxxx or require Enrollee to make any payment for Covered Services other than copayments, coinsurance and deductibles, if any, as specified in the Health Benefit Plan. Practice and Participating Physicians shall not xxxx or collect from Enrollee the difference between the payment rates agreed to in the Payor Contract and Practice’s regular billing rates.

Appears in 7 contracts

Samples: Participating Physician Practice Agreement, Participating Physician Practice Agreement, Participating Physician Practice Agreement

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Enrollee Billing. Practice shall xxxx bill and collect from Enrollee all copayments, coinsurance and deductibles as specified in the Enrollee’s Health Benefit Plan. Except as permitted by this Section, neither Practice nor Participating Physicians shall xxxx bill or require Enrollee to make any payment for Covered Services other than copayments, coinsurance and deductibles, if any, as specified in the Health Benefit Plan. Practice and Participating Physicians shall not xxxx bill or collect from Enrollee the difference between the payment rates agreed to in the Payor Contract and Practice’s regular billing rates.

Appears in 2 contracts

Samples: Participating Physician Practice Agreement, Participating Physician Practice Agreement

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