Prohibited Claims. A. Except in specified circumstances, Contractor and any of its Affiliates and Subcontractors shall not submit a claim or demand, or otherwise collect reimbursement for any services provided under this Contract to a Medi- Cal Member. Collection of claim may be made under those circumstances described in Title 22 CCR Sections 53866, 53220, and 53222. B. Contractor shall not hold Members liable for Contractor's debt if Contractor becomes insolvent. In the event Contractor becomes insolvent, Contractor shall cover continuation of services to Members for the duration of the period for which payment has been made, as well as for inpatient admissions up until discharge.
Appears in 3 contracts
Samples: Service Agreement, Service Agreement, Service Agreement
Prohibited Claims. A. Except in specified circumstances, Contractor and any of its Affiliates and Subcontractors subcontractors shall not submit a claim or demand, or otherwise collect reimbursement for any services provided under this Contract to a Medi- Cal Member. Collection of claim may be made under those circumstances described in Title 22 CCR Sections 53866, 53220, and 53222.
B. Contractor shall not hold Members liable for Contractor's debt if Contractor becomes insolvent. In the event Contractor becomes insolvent, Contractor shall cover continuation of services to Members for the duration of the period for which payment has been made, as well as for inpatient admissions up until discharge.
Appears in 2 contracts
Samples: Service Agreement, Service Agreement
Prohibited Claims. A. Except in specified circumstances, Contractor and any of its Affiliates and Subcontractors shall not submit a claim or demand, or otherwise collect reimbursement for any services provided under this Contract to from a Medi- Cal Member or person acting on behalf of Member. Collection of claim may be made under those circumstances described in Title 22 CCR Sections 53866, 53220, 53220 and 53222.
B. Contractor shall not hold Members liable for Contractor's ’s debt if Contractor becomes insolvent. In the event Contractor becomes insolvent, Contractor shall cover the continuation of services Covered Services to Members for the duration of the period for which payment has been made, as well as for inpatient admissions up until discharge.
Appears in 1 contract
Samples: Contract for Health Care Services
Prohibited Claims. A. Except in specified circumstances, Contractor and any of its Affiliates and Subcontractors subcontractors shall not submit a claim or demand, or otherwise collect reimbursement for any services provided under this Contract to from a Medi- Cal Member or person acting on behalf of Member. Collection of claim may be made under those circumstances described in Title 22 CCR Sections 53866, 53220, 53220 and 53222.
B. Contractor shall not hold Members liable for Contractor's ’s debt if Contractor becomes insolvent. In the event Contractor becomes insolvent, Contractor shall cover the continuation of services Covered Services to Members for the duration of the period for which payment has been made, as well as for inpatient admissions up until discharge.
Appears in 1 contract
Samples: Healthcare Agreements
Prohibited Claims. A. Except in specified circumstances, Contractor and any of its Affiliates and Subcontractors shall not submit a claim or demand, or otherwise collect reimbursement for any services provided under this Contract to from a Medi- Medi-Cal Member or person acting on behalf of Member. Collection of claim may be made under those circumstances described in Title 22 CCR Sections 53866, 53220, 53220 and 53222.
B. . Contractor shall not hold Members liable for Contractor's ’s debt if Contractor becomes insolvent. In the event Contractor becomes insolvent, Contractor shall cover continuation of services to Members for the duration of the period for which payment has been made, as well as for inpatient admissions up until discharge.
Appears in 1 contract
Samples: Healthcare Agreement