Obligations of Patient. 1. Patient or his/her legal authorized representative agrees not to submit a claim (or to request that the physician submit a claim) under the Medicare program for such items or services as physician may provide, even if such items or services are otherwise covered under the Medicare program.
Appears in 17 contracts
Samples: Patient Agreement, Health Patient Agreement, Medicare Private Contract
Obligations of Patient. 1. Patient or his/her legal authorized representative agrees not to submit a claim (or to request that the physician submit a claim) under the Medicare program for such items or services as physician Physician may provide, even if such items or services are otherwise covered under the Medicare program.
Appears in 2 contracts
Samples: Agreement, Medicare Private Contract
Obligations of Patient. 1. Patient or his/her legal authorized representative agrees not to submit a claim (or to request that the physician submit a claim) under the Medicare program for such items or services as physician may provide, even if such items or services are otherwise covered under the Medicare program.
Appears in 1 contract
Samples: Medicare Private Contract
Obligations of Patient. 1. Patient or his/her legal authorized representative agrees not to submit a claim (or to request that the physician Physician submit a claim) under the Medicare program for such items or services as physician Physician may provide, even if such items or services are otherwise covered under the Medicare program.
Appears in 1 contract
Samples: Direct Primary Care Member Agreement
Obligations of Patient. 1. Patient or his/her legal authorized representative agrees not to submit a claim (or to request that the physician submit a claim) under the Medicare program for such items or services as physician Physician may provide, even if such items or services are otherwise covered under the Medicare program.. Patient Initials Continued on Page 2
Appears in 1 contract
Samples: Private Contract
Obligations of Patient. 1. Patient or his/her legal authorized representative agrees not to submit a claim (or to request that the physician Physician submit a claim) under the Medicare program for such items or services as physician Physician may provide, even if such items or services are otherwise covered under the Medicare program.
Appears in 1 contract
Samples: Medicare Private Contract
