Common use of PROTECTION OF MEMBERS Clause in Contracts

PROTECTION OF MEMBERS. In the event that Blue Shield or a Member notifies Group that a Group Provider (or physician providing coverage for such Group Provider), or another provider who provided Capitated Professional Services to the Member is billing, suing, or otherwise attempting to collect (“Collection”) payment from the Member or person responsible for the Member’s care, other than Copayments, Group shall immediately take all reasonable and appropriate actions to stop such Collection. In the event that Group is unable to timely stop such Collection, as determined by Blue Shield, Blue Shield may take any steps it deems appropriate, including payment of the claim, to stop such Collection. In such event, Blue Shield may deduct and offset such payment from any amount then or thereafter payable by Blue Shield to Group.

PROTECTION OF MEMBERS. In the event that Blue Shield or a Member notifies Group that a Group Provider (or physician providing coverage for such Group Provider), or another provider who provided Capitated Professional Services to the Member is billing, suing, or otherwise attempting to collect (“Collection”) payment from the Member or person responsible for the Member’s care, other than CopaymentsCo-payments, Group shall immediately take all reasonable and appropriate actions to stop such Collection. In the event that Group is unable to timely stop such Collection, as determined by Blue Shield, Blue Shield may take any steps it deems appropriate, including payment of the claim, to stop such Collection. In such event, Blue Shield may deduct and offset such payment from any amount then or thereafter payable by Blue Shield to Group.