Member Hold Harmless. Provider shall accept the final payment made by ACDE as payment in full for Covered Services provided pursuant to this Agreement. Provider agrees that in no event, including, but not limited to, nonpayment by the Agency to ACDE, nonpayment by ACDE to Provider, the insolvency of ACDE, or breach of this Agreement, shall Provider xxxx, charge, collect a deposit from, seek compensation, remuneration or reimbursement from, solicit or accept any surety or guarantee of payment, or have any recourse against Members or persons other than ACDE acting on their behalf (including parent(s), guardian, spouse or any other person legally, or potentially legally, responsible person of the Member) for Covered Services listed in this Agreement. This provision shall not prohibit collection of supplemental charges or co-payments on ACDE’s behalf made in accordance with terms of an enrollment agreement between ACDE and Members. Provider further agrees that:
a. this hold harmless provision shall survive the termination of this Agreement regardless of the cause giving rise to termination and shall be construed to be for the benefit of Members; and that
b. this hold harmless provision supersedes any oral or written contrary agreement now existing or hereafter entered into between Provider and Members or persons acting on their behalf.
Member Hold Harmless. Notwithstanding any provision in this Agreement to the contrary, Health Plan shall prohibit providers, under any circumstance including but not limited to non-payment by Health Plan or SDOH, insolvency of Health Plan or breach of Health Plan’s agreement with a provider, from billing, charging, collecting a deposit from, seeking compensation or remuneration from or having any recourse against any Member for fees that are the responsibility of Health Plan or SDOH. (Sec. 5.11.4)
Member Hold Harmless. Network agrees, and shall assure that Network Providers agree, that in no event, including but not limited to, nonpayment by Plan, Plan insolvency, or breach of this Agreement by either party, shall Network or Network Provider, or any representative or agent, xxxx, charge, collect a deposit from, seek compensation, remuneration or reimbursement from, or have any recourse against a Member, AHCA, OIR, CMS, or enrollee, or person acting on their behalf for services provided pursuant to this Agreement.This provision shall not prohibit collection of Copayments on Plan's behalf made in accordance with the terms of the applicable agreement between Plan and Member. Network Providers shall use reasonable efforts to collect from Members applicable copayments. Network shall require Network Providers to agree that (i) this provision shall survive the termination of this Agreement regardless of the cause giving rise to termination and shall be construed to be for the benefit of Members, and that (ii) this provision supersedes any oral or written contrary agreement now existing or thereafter entered into between or among Network, Network Provider and Members, or persons on their behalf Network shall, and shall require Network Providers to, continue providing services to Members through any post insolvency period in the manner set forth in Section 4.3 hereof or through any period after the termination of this Agreement to the extent necessary to complete a plan of care or plan of treatment initiated prior to termination of this Agreement. Plan shall not alter the provisions contained in this paragraph without the prior written approval of the Secretary or a Director, Superintendent or Commissioner of the DHHS.
Member Hold Harmless. Provider may not, under any circumstance, including: (i) nonpayment of moneys due the Provider by Health Plan, (ii) insolvency of Health Plan, or (iii) breach of the provider agreement, xxxx, charge, collect a deposit, seek compensation, remuneration, or reimbursement from, or have any recourse against a Member, dependent of a Member, or any persons acting on their behalf, for services provided in accordance with the provider agreement. This provision shall not prohibit collection of deductible amounts, copayment amounts, coinsurance amounts, and amounts for noncovered services. [KRS § 304.17A-527(1)(a)]
Member Hold Harmless. Notwithstanding any provision in this Agreement to the contrary, in no event, including but not limited to the insolvency of a Benefit Plan, breach of the Agreement and/or non-payment for services by a Benefit Plan, shall Administrator or any Network Pharmacy xxxx, charge, collect a deposit from, have any recourse against, or otherwise seek payment from any Member, or anyone acting on their behalf, for Covered Prescription Services, or any amounts due to Administrator from United, other than Cost-Sharing Amounts, returned checks and collection costs, and any similar fees in accordance with applicable Laws and Regulations. In addition, Members with dual eligibility for Medicare and Medicaid shall not be held liable for Medicare Part A and B cost-sharing when the applicable State is responsible for paying such amounts. Under no circumstances shall Administrator or any Network Pharmacy xxxx or seek compensation from or assert any legal action against such dual eligible Members or persons acting on their behalf with respect to services rendered hereunder. Administrator and/or Network Pharmacy as applicable shall accept the Benefit Plan’s payment as payment in full or xxxx the appropriate State pursuant to 42 CFR § 422.504(g)(1)(iii). In the event of a conflict between this hold harmless provision and any other term of this Agreement, including all integrated Exhibits, this hold harmless provision shall control. This hold harmless provision shall survive the termination of this Agreement and shall be construed for the benefit of Members. Administrator shall require, pursuant to the terms of its Network Pharmacy Agreements, each Network Pharmacy to comply with the requirements of this Section 4.7.
Member Hold Harmless. 18.1 Physician agrees that in no event, including, but not limited to, nonpayment by VHP, VHP's insolvency or breach of this Agreement, shall Physician xxxx, charge, collect a deposit from, seek compensation, remuneration or reimbursement from, or have any recourse against Members or persons other than VHP for Covered Services provided by Physician for which payment is the legal obligation of VHP. This provision shall not prohibit collection by Physician from Member for any non- covered service and/or Copayments in accordance with the terms of this Agreement and the applicable Member health benefits contract. Physician further agrees that: (i) this provision shall survive the expiration or termination of this Agreement regardless of the cause giving rise to expiration or termination and shall be construed to be for the benefit of the Member; (ii) this provision supersedes any oral or written contrary agreement now existing or hereafter entered into between Physician and Member or persons acting on their behalf; and (iii) this provision shall apply to all employees, agents, trustees, assignees, subcontractors, and independent contractors of Physician, and Physician shall obtain from such persons specific agreement to this provision.
18.2 With respect to any Members who are eligible for both Medicare and Medicaid, Physician agrees that such members will not be held liable for Medicare Part A and Medicare Part B Costs Sharing when the State is responsible for paying such amounts. Further, with respect to such members, Physician agrees to: (i) accept the payment amount from VHP as payment in full, or (ii) xxxx the appropriate State source.
Member Hold Harmless. Provider hereby agrees that in no event, including, but not limited to: (i) non-payment by HPN or a Payer; (ii) insolvency of HPN or a Payer; or (iii) breach of this Agreement, shall Provider xxxx, charge, collect a deposit from, seek compensation, remuneration, or reimbursement from, or have any recourse against Members or persons other than HPN or such Payer acting on their behalf for Covered Services provided pursuant to this Agreement. This provision shall not prohibit collection of supplemental charges, copayments or fees for non-Covered Services on HPN’s or a Payer’s behalf made in accordance with the terms of the applicable Payer Plan. Provider further agrees that (a) this provision shall survive the termination of this Agreement regardless of the cause giving rise to tennination and shall be construed to be for the benefit of Members; and (b) this provision supersedes any oral or written contrary agreement now existing or hereafter entered into between Provider and Members or persons acting on their behalf. Any modification, addition, or deletion to the provisions of this Section shall be effective on a date no earlier than fifteen (15) days after the appropriate government agency has received written notice of such proposed change and has approved such change.
Member Hold Harmless. Agent shall not, in any event (including, without limitation, non-payment of any compensation hereunder, bankruptcy or insolvency of an Affiliate or breach of this Agreement), xxxx, charge, collect a deposit from, seek compensation or remuneration or reimbursement from, hold responsible, or otherwise have any recourse against any actual or prospective Member for any amounts otherwise payable to Agent pursuant to this Agreement or otherwise.
Member Hold Harmless. Neither Participant, Practice Provider, nor Supplier shall, in any event, including, without limitation, insolvency of ACO or breach of this Agreement, xxxx, charge, collect a deposit from, seek compensation or remuneration or reimbursement from, hold responsible, or otherwise have any recourse against any Member or any other person acting on behalf on any Member other than for Member Costs or non-Covered Services. Participant agrees that neither Provider nor any Practice Provider shall maintain any action at law or equity against a Member to collect sums owed to Participant or Practice 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 Members; and (b) supersede any oral or written contrary agreement now existing or hereafter entered into between Participant, Practice Provider, or Supplier and Member or a person acting on a Member’s behalf.
Member Hold Harmless. Provider hereby agrees that in no event, including, but not limited to: (i) non-payment by SelectCare; (ii) insolvency of SelectCare; or (iii) breach of this Agreement, shall Provider xxxx, charge, collect a deposit from, seek compensation, remuneration, or reimbursement from, or have any recourse against Members or persons other than SelectCare acting on their behalf for Covered Services provided pursuant to this Agreement. This provision shall not prohibit collection of deductibles, copayments, or fees for non-Covered Services on SelectCare’s behalf made in accordance with the terms of the applicable plan. Provider further agrees that (a) this provision shall survive the termination of this Agreement regardless of the cause giving rise to termination and shall be construed to be for the benefit of Members; and (b) this provision supersedes any oral or written contrary agreement now existing or hereafter entered into between Provider and Members or persons acting on their behalf Any modification, addition, or deletion to the provisions of this Section shall be effective on a date no earlier than fifteen (15) days after the appropriate government agency has received written notice of such proposed change and has approved such change.
