Non-Standard of Care Medical Procedures and Services Sample Clauses

Non-Standard of Care Medical Procedures and Services. For Medical Procedures or Services that are not within the standard of care for a patient properly enrolled in the Trial, whether the non- standard of care determination is made by Hospital, Clinical Team, or the patient's third party health insurer, Hospital may submit an invoice to Sponsor for Hospital's or Clinical Team's usual amount for the Medical Procedure or Service. The invoice shall include original documentation evidencing and certifying that (a) the Medical Procedure or Service is not within the standard of care for the patient; and (b) neither Hospital nor any member of the Clinical Team shall further seek or retain payment for the Medical Procedure or Service from the patient, from a third-party health insurer or from any person or entity other than Sponsor. Subject to the terms and conditions of the Qualifications for Payment provision in Section 7 of this Exhibit C, Sponsor shall pay Hospital and Clinical Team the reasonable and customary amount for each such Medical Procedure or Service up to one hundred percent (100%) of the applicable Medicare Rate for such Medical Procedure or Service. 4.
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