Common use of Limitation on Billing Eligible Persons Clause in Contracts

Limitation on Billing Eligible Persons. Provider agrees that in no event, including but not limited to nonpayment by Payor, Payor's insolvency or breach of this Agreement, shall Provider xxxx, charge, collect a deposit from, seek compensation, remuneration or reimbursement from or have any recourse against Eligible Persons or persons other than the applicable Payor for Covered Services. In addition, Provider shall not xxxx Eligible Persons for any amounts not paid due to Provider's failure to comply with the requirements of Utilization Management, failure to file a timely claim or appeal or due to the application of claim coding and bundling rules. This provision shall not prohibit collection of any applicable Copayments, Coinsurance and Deductibles. This provision shall not prohibit collection of any applicable Copayments, Coinsurance and Deductibles. This provision survives the termination of this Agreement, is intended to be for the benefit of Eligible Persons and supersedes and oral or written agreement to the contrary now existing or hereafter entered into between Provider and an Eligible Person or persons acting on the Eligible Person's behalf. Modification to this section will become effective no earlier than the date permitted by applicable law.

Appears in 1 contract

Samples: Ancillary Service Agreement (American Surgical Holdings Inc)

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Limitation on Billing Eligible Persons. Provider agrees that in no event, including but not limited to nonpayment by Payor, Payor's insolvency or breach of this Agreement, shall Provider xxxxbxxx, charge, collect a deposit from, seek compensation, remuneration or reimbursement from or have any recourse against Eligible Persons or persons other than the applicable Payor for Covered Services. In addition, Provider shall not xxxx bxxx Eligible Persons for any amounts not paid due to Provider's failure to comply with the requirements of Utilization Management, failure to file a timely claim or appeal or due to the application of claim coding and bundling rules. This provision shall not prohibit collection of any applicable Copayments, Coinsurance and Deductibles. This provision shall not prohibit collection of any applicable Copayments, Coinsurance and Deductibles. This provision survives the termination of this Agreement, is intended to be for the benefit of Eligible Persons and supersedes and any oral or written agreement to the contrary now existing or hereafter entered into between Provider and an Eligible Person or persons acting on the Eligible Person's behalf. Modification Modifications to this section will become effective no earlier than the date permitted by applicable law.

Appears in 1 contract

Samples: Ancillary Service Agreement (American Surgical Holdings Inc)

Limitation on Billing Eligible Persons. Provider agrees that in no event, including but not limited to nonpayment by Payor, Payor's insolvency or breach of this Agreement, shall Provider xxxxbxxx, charge, collect a deposit from, seek compensation, remuneration or reimbursement from or have any recourse against Eligible Persons or persons other than the applicable Payor for Covered Services. In addition, Provider shall not xxxx bxxx Eligible Persons for any amounts not paid due to Provider's failure to comply with the requirements of Utilization Management, failure to file a timely claim or appeal or due to the application of claim coding and bundling rules. This provision shall not prohibit collection of any applicable Copayments, Coinsurance and Deductibles. This provision shall not prohibit collection of any applicable Copayments, Coinsurance and Deductibles. This provision survives the termination of this Agreement, is intended to be for the benefit of Eligible Persons and supersedes and any oral or written agreement to the contrary now existing or hereafter entered into between Provider and an Eligible Person or persons acting on the Eligible Person's behalf. Modification Modifications to this section will become effective no earlier than the date permitted by applicable law.. ANCILLARY PROVIDER 2007 4

Appears in 1 contract

Samples: Ancillary Service Agreement (American Surgical Holdings Inc)

Limitation on Billing Eligible Persons. Provider agrees that in no event, including but not limited to nonpayment by Payor, Payor's ’s insolvency or breach of this Agreement, shall Provider xxxxbxxx, charge, collect a deposit from, seek compensation, remuneration or reimbursement from or have any recourse against Eligible Persons or persons other than the applicable Payor for Covered Services. In addition, Provider shall not xxxx bxxx Eligible Persons for any amounts not paid due to Provider's ’s failure to comply with the requirements of Utilization Management, failure to file a timely claim or appeal or due to the application of claim coding and bundling rules. This provision shall not prohibit collection of any applicable Copayments, Coinsurance and Deductibles. This provision shall not prohibit collection of any applicable Copayments, Coinsurance and Deductibles. This provision survives the termination of this Agreement, is intended to be for the benefit of Eligible Persons and supersedes and any oral or written agreement to the contrary now existing or hereafter hereinafter entered into between Provider and an Eligible Person or persons acting on the Eligible Person's ’s behalf. Modification Modifications to this section will become effective no earlier than the date permitted by applicable law.

Appears in 1 contract

Samples: Ancillary Service Agreement (American Surgical Holdings Inc)

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Limitation on Billing Eligible Persons. Provider agrees that in no event, including but not limited to nonpayment by Payor, Payor's insolvency or breach of this Agreement, shall Provider xxxx, charge, collect a deposit from, seek compensation, remuneration or reimbursement from or have any recourse against Eligible Persons or persons other than the applicable Payor for Covered Services. In addition, Provider shall not xxxx Eligible Persons for any amounts not paid due to Provider's failure to comply with the requirements of Utilization Management, failure to file a timely claim or appeal or due to the application of claim coding and bundling rules. This provision shall not prohibit collection of any applicable Copayments, Coinsurance and Deductibles. This provision shall not prohibit collection of any applicable Copayments, Coinsurance and Deductibles. This provision survives the termination of this Agreement, is intended to be for the benefit of Eligible Persons and supersedes and any oral or written agreement to the contrary now existing or hereafter entered into between Provider and an Eligible Person or persons acting on the Eligible Person's behalf. Modification Modifications to this section will become effective no earlier than the date permitted by applicable law.. ANCILLARY PROVIDER 2007 4

Appears in 1 contract

Samples: Ancillary Service Agreement (American Surgical Holdings Inc)

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