Common use of Payment from Members Clause in Contracts

Payment from Members. Provider agrees to charge and accept as payment in full only the compensation for dental services provided on the Covered Benefits or in any updates that may later be agreed to by the Provider. Provider may not collect any payment from Member other than those designated in the Covered Benefits Schedule as being the responsibility of the Member, such as deductibles, copayments, and charges for additional services and materials not specified on the Covered Benefits Schedule. Any charges to the Member shall not exceed the Provider’s usual and customary fee for that dental service. The member may not be balanced billed for covered services denied.

Appears in 2 contracts

Samples: Dental Provider Agreement, Dental Provider Agreement

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Payment from Members. Provider agrees to charge and accept as payment in full only the compensation as set forth in the Addendum to this Agreement for dental services provided on the Covered Benefits or in any updates that may later be agreed to by the Provider. Provider may not collect any payment from Member Members other than those designated in the Covered Benefits Schedule as being the responsibility of the MemberMembers, such as deductibles, copaymentsco-payments, and charges for additional services and materials not specified on the Covered Benefits Schedule. Any charges to the Member Members shall not exceed the Provider’s usual and customary fee for that dental service. The member Members may not be balanced billed for covered services denied.

Appears in 2 contracts

Samples: Provider Agreement, Provider Agreement

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