Non-Participation in Insurance. The Practice does not participate with any health plans, HMO panels, or any other third-party payor. As such, we may not submit bills or seek reimbursement from any third-party payors for the Services provided under this Agreement.
Appears in 10 contracts
Samples: Patient Agreement, Patient Agreement, Patient Agreement
Non-Participation in Insurance. The Practice does not participate with in any health insurance plans, HMO panelsHMOs, or any other third-party payorpayors, whether private or government-sponsored. As suchAccordingly, we may not submit bills the Patient understands that both the Patient and the Practice are prohibited by law from submitting charges to or seek seeking reimbursement from any third-party payors payor for Services personally provided by the Services provided Practice under this Agreement.
Appears in 8 contracts
Samples: Health Patient Agreement, Patient Agreement, Health Patient Agreement
Non-Participation in Insurance. The Patient understands that the Practice does not participate with in any government-funded or private health plansinsurance programs, HMO panels, or any other third-party payorpayor health plans. As suchTherefore, we the Practice may not submit bills bill or seek reimbursement from any third-party payors for any of the Services provided included under this AgreementAgreement and/or which are personally provided by the Practice.
Appears in 6 contracts
Samples: Metabolic Health Patient Agreement, Medical Weight Loss Patient Agreement, Medical Weight Loss Patient Agreement
Non-Participation in Insurance. The Patient understands that the Practice does not participate with in any government-funded or private health plansinsurance programs, HMO panels, or any other third-party payorpayor health plans. As suchTherefore, we the Practice may not submit bills bill or seek reimbursement from any third-party payors for any of the Services provided included under this Agreement.
Appears in 3 contracts
Samples: DPC Patient Agreement, Off Grid Doc, DPC Patient Agreement
Non-Participation in Insurance. The Patient understands that the Practice does not participate with in any government-funded or private health plansinsurance programs, HMO panels, or any other third-party payorpayor health plans. As suchTherefore, we the Practice may not submit bills xxxx or seek reimbursement from any third-party payors for any of the Services provided included under this Agreement.
Appears in 2 contracts
Samples: Off Grid Doc, DPC Patient Agreement
Non-Participation in Insurance. The Patient understands that the Practice does not participate with in any health plans, HMO panels, or any other third-third party payorpayor or government insurance plans. As such, we may not submit bills or seek reimbursement from any third-party payors for the Services provided under this Agreement.
Appears in 2 contracts
Samples: Patient Agreement, Patient Agreement
Non-Participation in Insurance. The Practice does not participate with any health plans, HMO panels, or any other third-party payor. As such, we may not submit bills or seek reimbursement from any third-third- party payors for the Services provided under this Agreement.
Appears in 2 contracts
Samples: Patient Agreement, Patient Agreement
Non-Participation in Insurance. The Patient understands that the Practice does not participate with in any government-funded or private health plansinsurance programs, HMO panels, or any other third-party payorpayor health plans. As suchTherefore, we the Practice may not submit bills xxxx or seek reimbursement from any third-party payors for any of the Services provided included under this AgreementAgreement and/or which are personally provided by the Practice.
Appears in 2 contracts
Samples: Off Grid Doc, Medical Weight Loss Patient Agreement
Non-Participation in Insurance. The Practice does We do not participate with any private health plansinsurance, HMO panels, government-sponsored health plans, or any other third-party payorpayors. As suchAccordingly, we We may not submit bills bill or seek otherwise attempt to obtain reimbursement from any third-party payors of the above for the Services provided services We provide under this Agreement.
Appears in 1 contract
Non-Participation in Insurance. The Practice does not participate with any health plans, HMO panels, or any other third-party payor. As such, we may will not submit bills or seek reimbursement from any third-party payors for the Services provided under this Agreement.
Appears in 1 contract
Samples: For Service Medical Agreement
Non-Participation in Insurance. The You understand that the Practice does not participate with in any health insurance plans, HMO panelsHMOs, or any other third-party payorpayors, whether private or government-sponsored. As suchAccordingly, we may not submit bills charges to, or seek reimbursement from any from, third-party payors for the any Services provided under this Agreement.
Appears in 1 contract
Samples: Patient Agreement
Non-Participation in Insurance. The Practice does not participate with any health plans, HMO panels, government, or any other third-party payorpayors. As such, we may We do not submit bills or seek reimbursement from any third-party payors for the Services provided under this Agreement.
Appears in 1 contract
Samples: Nurture Well Center
Non-Participation in Insurance. The Neither the Practice does not participate nor its Staff participates with any HMOs, private or government-sponsored health plans, HMO panels, or any other third-third party payorpayors. As suchTherefore, we may not submit bills We are prohibite from billing or seek seeking reimbursement from any third-party payors on a fee for the service basis for any Services provided under included in this Agreement.
Appears in 1 contract
Samples: Patient Agreement
Non-Participation in Insurance. The You understand that the Practice does not participate with in any health insurance plans, HMO panelsHMOs, or any other thirdthird- party payors, whether private or government-party payorsponsored. As suchAccordingly, we may not submit bills charges to, or seek reimbursement from any from, third-party payors for the any Services provided under this Agreement.
Appears in 1 contract
Samples: Patient Agreement