Non-Participating Provider. If You have insurance with which the Practice and/or its physicians do not participate, the Practice will file a claim with your insurance company as a courtesy only with respect to covered services that are provided. Under such circumstances, You will be responsible for an office visit charge.
Appears in 2 contracts
Samples: Program Agreement, Program Agreement
Non-Participating Provider. If You have insurance with which the Practice and/or its physicians do not participate, the Practice will file a claim with your insurance company as a courtesy only with respect to covered services that are provided. Under such circumstances, You you will be responsible for an office visit charge.
Appears in 1 contract
Samples: Program Agreement
Non-Participating Provider. If You have insurance with which the Practice and/or its physicians do does not participate, the Practice will file a claim with your insurance company as a courtesy only with respect to covered services that are provided. Under such circumstances, provided to You will be responsible for an office visit chargeby the Practice as defined by your insurance company.
Appears in 1 contract
Samples: Financial Agreement
Non-Participating Provider. If You have insurance with which Xx. Xxxxxxxx or the Practice and/or its physicians do does not participate, the Practice will file a claim with your insurance company as a courtesy only with respect to covered services that are providedprovided other than as part of the Annual Health Assessment or as personal services. Under such circumstances, You you will be responsible for an office visit charge.
Appears in 1 contract
Samples: Retainer Agreement