Common use of Member Billing/Hold Harmless Clause in Contracts

Member Billing/Hold Harmless. Notwithstanding anything herein to the contrary, PROVIDER agrees XXXXX’ payment hereunder constitutes payment in full and except as otherwise provided for in a Member’s benefit program, PROVIDER shall look only to XXXXX for compensation for Covered Services provided to Members and shall at no time seek compensation, remuneration or reimbursement from Members, persons acting on Member(s)’ behalf, from the MCO, the Plan, or the MAP for Covered Services even if XXXXX for any reason, including insolvency or breach of this Agreement, fails to pay PROVIDER. No surcharge to any Member shall be permitted. A surcharge shall, for purposes of this Agreement, be deemed to include any additional fee not provided for in the Member’s benefit program. This hold harmless provision supersedes any oral or written agreement to the contrary, either now existing or hereinafter entered into between Member(s) or person acting on Member(s)’ behalf and PROVIDER, which relate to liability for payment; shall survive termination of this Agreement regardless of the reason for termination, shall be construed to be for the benefit of the Member(s) and shall not be changed without the approval of appropriate regulatory authorities.

Appears in 3 contracts

Samples: Participating Provider Agreement, Participating Provider Agreement, Participating Provider Agreement

AutoNDA by SimpleDocs

Member Billing/Hold Harmless. Notwithstanding anything herein to the contrary, PROVIDER agrees XXXXX’ payment hereunder constitutes payment in full and except as otherwise provided for in a Member’s benefit program, PROVIDER shall look only to XXXXX for compensation for Covered Services provided to Members and shall at no time seek compensation, remuneration remuneration, or reimbursement from MembersMember(s), persons acting on Member(s)’ behalf, from the MCO, the Plan, the NC DHHS, or the MAP for Covered Services DMA, even if XXXXX for any reason, including insolvency or breach of this Agreement, fails to pay PROVIDER. However, this provision shall not prohibit a provider and member from agreeing to continue non-covered services at the member’s own expense, as long as the provider has notified the member in advance that the carrier may not cover or continue to cover specific services and the member chooses to receive the service. No surcharge to any Member shall be permitted. A surcharge shall, for purposes of this Agreement, be deemed to include any additional fee not provided for in the Member’s benefit program. This hold harmless provision supersedes any oral or written agreement to the contrary, either now existing or hereinafter entered into between Member(s) or person persons acting on Member(s)’ behalf and PROVIDER, which relate to liability for payment; shall survive termination of this Agreement regardless of the reason for termination, shall be construed to be for the benefit of the Member(s) and and, shall not be changed without the approval of appropriate regulatory authorities.

Appears in 2 contracts

Samples: Participating Provider Agreement, Participating Provider Agreement

Member Billing/Hold Harmless. Notwithstanding anything herein to the contrary, PROVIDER agrees XXXXX’ payment hereunder constitutes payment in full and except as otherwise provided for in a Member’s benefit program, PROVIDER shall look only to XXXXX for compensation for Covered Services provided to Members and shall at no time seek compensation, remuneration or reimbursement from Members, persons acting on Member(s)’ behalf, from the MCO, the Plan, or the MAP for Covered Services even if XXXXX for any reason, including insolvency or breach of this Agreement, fails to pay PROVIDER. No surcharge to any Member shall be permitted. A surcharge shall, for purposes of this Agreement, be deemed to include any additional fee not provided for in the Member’s benefit programplan. This hold harmless provision supersedes any oral or written agreement to the contrary, either now existing or hereinafter entered into between Member(s) or person acting on Member(s)’ behalf and PROVIDER, which relate to liability for payment; , shall survive termination of this Agreement regardless of the reason for termination, shall be construed to be for the benefit of the Member(s) and shall not be changed without the approval of appropriate regulatory authorities.

Appears in 1 contract

Samples: Participating Provider Agreement

Member Billing/Hold Harmless. Notwithstanding anything herein to the contrary, PROVIDER agrees XXXXX’ payment hereunder constitutes payment in full and except as otherwise provided for in a Member’s benefit programplan, PROVIDER shall look only to XXXXX for compensation for Covered Services provided to Members and shall at no time seek compensation, remuneration or reimbursement from Members, persons person(s) acting on Member(s)’ behalf, from the MCO, the Plan, or the MAP for Covered Services even if XXXXX for any reason, including insolvency or breach of this Agreement, fails to pay PROVIDER. No surcharge to any Member shall be permitted. A surcharge shall, for purposes of this Agreement, be deemed to include any additional fee not provided for in the Member’s benefit programplan. This hold harmless provision supersedes any oral or written agreement to the contrary, either now existing or hereinafter entered into between Member(s), or person(s) or person acting on Member(s)’ behalf behalf, and PROVIDER, which relate to liability for payment; shall survive termination of this Agreement regardless of the reason for termination, ; shall be construed to be for the benefit of the Member(s) ); and shall not be changed without the approval of appropriate regulatory authorities, it being understood that this hold harmless provision is in addition to the protections afforded to Members under Insurance Law Section 4307(d).

Appears in 1 contract

Samples: Participating Provider Agreement

Member Billing/Hold Harmless. Notwithstanding anything herein to the contrary, PROVIDER agrees XXXXX’ payment hereunder constitutes payment in full and except as otherwise provided for in a Member’s benefit programplan, PROVIDER shall look only to XXXXX for compensation for Covered Services provided to Members and shall at no time seek compensation, remuneration or reimbursement from Members, persons person(s) acting on Member(s)’ behalf, from the MCO, the Plan, or the MAP for Covered Services even if XXXXX for any reason, including insolvency or breach of this Agreement, fails to pay PROVIDER. No surcharge to any Member shall be permitted. A surcharge shall, for purposes of this Agreement, be deemed to include any additional fee not provided for in the Member’s benefit programplan. This hold harmless provision supersedes any oral or written agreement to the contrary, either now existing or hereinafter entered into between Member(s), or person(s) or person acting on Member(s)’ behalf behalf, and PROVIDER, PROVIDER which relate to liability for payment; shall survive termination of this Agreement regardless of the reason for termination, ; shall be construed to be for the benefit of the Member(s) ); and shall not be changed without the approval of appropriate regulatory authorities, it being understood that this hold harmless provision is in addition to the protections afforded to Members under Insurance Law Section 4307(d).

Appears in 1 contract

Samples: Participating Provider Agreement

AutoNDA by SimpleDocs

Member Billing/Hold Harmless. Notwithstanding anything herein to the contrary, PROVIDER agrees that XXXXX’ payment hereunder constitutes payment in full and except as otherwise provided for in a Member’s benefit program, PROVIDER shall look only to XXXXX for compensation for Covered Services provided to Members and shall at no time seek compensation, remuneration or reimbursement from Members, persons acting on Member(s)’ behalf, from the MCO, the Plan, or the MAP for Covered Services even if XXXXX for any reason, including insolvency or breach of this Agreement, fails to pay PROVIDER. No surcharge to any Member shall be permitted. A surcharge shall, for purposes of this Agreement, be deemed to include any additional fee not provided for in the Member’s benefit program. This hold harmless provision supersedes any oral or written agreement to the contrary, either now existing or hereinafter entered into between Member(s) or person persons acting on Member(s)’ behalf and PROVIDER, which relate to liability for payment; shall survive termination of this Agreement regardless of the reason for termination, ; shall be construed to be for the benefit of the Member(s) ); and shall not be changed without the approval of appropriate regulatory authorities.

Appears in 1 contract

Samples: Participating Provider Agreement

Member Billing/Hold Harmless. Notwithstanding anything herein to the contrary, PROVIDER agrees XXXXX’ payment hereunder constitutes payment in full and except as otherwise provided for in a Member’s benefit program, PROVIDER shall not xxxx, charge, collect a deposit, seek compensation, remuneration, or reimbursement from, or have any recourse against a Member, patient, or any person acting on their behalf, for Covered Services rendered under this Agreement. Further PROVIDER agrees PROVIDER shall look only to XXXXX for compensation for Covered Services provided to Members and shall at no time seek compensation, remuneration or reimbursement compensation for Covered Services from Members, persons or from any person acting on Member(s)’ Member’s behalf, or from the MCO, the Plan, or the MAP for Covered Services MAP, even if XXXXX fails for any reason, including insolvency of XXXXX or insolvency of a health maintenance organization, or breach of this Agreement, fails to pay PROVIDER. No surcharge to any Member shall be permitted. A surcharge shallsurcharge, for purposes of this Agreement, shall be deemed to include any additional fee not provided for in the Member’s benefit program. This hold harmless provision (a) supersedes any oral or written agreement to the contrary, either now existing or hereinafter hereafter entered into between Member(s) or person persons acting on Member(s)’ behalf and PROVIDER, PROVIDER and which shall relate to liability for payment; and (b) shall survive termination of this Agreement Agreement, regardless of the reason for termination, ; and (c) shall be construed to be for the benefit of the Member(s) ), and shall not be changed without the approval of appropriate regulatory authorities.

Appears in 1 contract

Samples: Participating Provider Agreement

Member Billing/Hold Harmless. Notwithstanding anything herein to the contrary, PROVIDER agrees XXXXX’ payment hereunder constitutes payment in full and except as otherwise provided for in a Member’s benefit programplan, PROVIDER shall look only to XXXXX for compensation for Covered Services provided to Members and shall at no time seek compensation, remuneration or reimbursement from Members, persons Members or from person(s) acting on Member(s)’ behalf, either from the MCO, the Plan, or the MAP for Covered Services even if XXXXX for any reason, including insolvency or breach of this Agreement, fails to pay PROVIDER. No surcharge to any Member shall be permitted. A surcharge shall, for purposes of this Agreement, be deemed to include any additional fee not provided for in the Member’s benefit program. This hold harmless provision supersedes any oral or written agreement to the contrary, either now existing or hereinafter entered into between Member(s) or person person(s) acting on Member(s)’ behalf and PROVIDER, which relate to liability for payment; , shall survive termination of this Agreement regardless of the reason for termination, shall be construed to be for the benefit of the Member(s) and shall not be changed without the approval of appropriate regulatory authorities.

Appears in 1 contract

Samples: Participating Provider Agreement

Draft better contracts in just 5 minutes Get the weekly Law Insider newsletter packed with expert videos, webinars, ebooks, and more!