Common use of No Billing of Members Clause in Contracts

No Billing of Members. Physician may not under any circumstances bill a Plan Member for any Covered Services except to collect any co-payments or deductible provided for under a Health Benefit Program. All co-payments or deductibles should, whenever possible, be collected by Physician at the time services are rendered, and Physician shall report to the Los Alamos PHO, upon request, all co-payments and deductibles received by Physician hereunder. Physician shall be solely responsible for billing and collecting such co-payrnents and deductibles. Physician shall not maintain any action at law or equity against Plan Members to collect sums owed to Physician by the Los Alamos PHO, Plan, or otherwise for Covered Services under this Agreement. Physician may bill a Plan Member for any non-Covered Services which Physician may provide to a Plan Member only if Physician has obtained a written acknowledgement of financial responsibility from the Plan Member prior to the time such non-Covered Services are provided. Physician shall provide Los Alamos PHO with a copy of said acknowledgement upon request. Physician shall further comply with all requirements of a Plan for billing and collection from Plan Members, as set forth in the Los Alamos PHO Agreement or other Plan documents.

Appears in 2 contracts

Samples: Participation Agreement, Participation Agreement

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No Billing of Members. Physician may not under any circumstances bill xxxx a Plan Member for any Covered Services except to collect any co-payments or deductible provided for under a Health Benefit Program. All co-payments or deductibles should, whenever possible, be collected by Physician at the time services are rendered, and Physician shall report to the Los Alamos PHO, upon request, all co-payments and deductibles received by Physician hereunder. Physician shall be solely responsible for billing and collecting such co-payrnents and deductibles. Physician shall not maintain any action at law or equity against Plan Members to collect sums owed to Physician by the Los Alamos PHO, Plan, or otherwise for Covered Services under this Agreement. Physician may bill xxxx a Plan Member for any non-Covered Services which Physician may provide to a Plan Member only if Physician has obtained a written acknowledgement of financial responsibility from the Plan Member prior to the time such non-Covered Services are provided. Physician shall provide Los Alamos PHO with a copy of said acknowledgement upon request. Physician shall further comply with all requirements of a Plan for billing and collection from Plan Members, as set forth in the Los Alamos PHO Agreement or other Plan documents.

Appears in 2 contracts

Samples: Participation Agreement, Participation Agreement

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