Common use of Misuse of Billing Numbers Clause in Contracts

Misuse of Billing Numbers. Provider shall use a Provider Identification Number (PIN) for the billing of Covered Services which complies with BCBSM policy as well as all applicable federal or state statutes or regulations. Provider shall not permit any other individual or entity to use his/her PIN. If Provider becomes aware that his/her PIN has been used in any manner which is in violation of published BCBSM policy by any other individual or entity, he/she must notify BCBSM immediately. Such misuse of a PIN by Provider or Provider's failure to notify BCBSM when they have knowledge of such misuse of their PIN by others is grounds for termination of this Agreement in addition to any other remedies available to BCBSM or its Members.

Appears in 6 contracts

Samples: Participation Agreement, Participation Agreement, Participation Agreement

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Misuse of Billing Numbers. Provider shall use a Provider Identification Number (PIN) for the billing of Covered Services which complies with BCBSM policy as well as all applicable federal or state statutes or regulations. Provider shall not permit any other individual or entity to use his/her its PIN. If Provider becomes aware that his/her its PIN has been used in any manner which is in violation of published BCBSM policy by any other individual or entity, he/she Provider must notify BCBSM immediately. Such misuse of a PIN by Provider or Provider's failure to notify BCBSM when they have Provider has knowledge of such misuse of their its PIN by others is grounds for termination of this Agreement in addition to any other remedies available to BCBSM or its Members.

Appears in 6 contracts

Samples: Outpatient Physical Therapy Facility Affiliation Agreement, Outpatient Physical Therapy Facility Traditional Participation Agreement, Outpatient Psychiatric Care Facility Participation Agreement

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Misuse of Billing Numbers. Provider shall use a Provider Identification Number (PIN) for the billing of Covered Services which complies with BCBSM policy as well as all applicable federal or state statutes or regulations. Provider shall not permit any other individual or entity to use his/her PIN. If Provider becomes aware that his/her PIN has been used in any manner which is in violation of published BCBSM policy by any other individual or entity, he/she must notify BCBSM immediately. Such misuse of a PIN by Provider or Provider's failure to notify BCBSM when they have Provider has knowledge of such misuse of their his/her PIN by others is grounds for termination of this Agreement in addition to any other remedies available to BCBSM or its Members.

Appears in 1 contract

Samples: Participation Agreement

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