Common use of PROVIDER REQUIREMENTS Clause in Contracts

PROVIDER REQUIREMENTS. 2.6.7.5.1 Providers or collection agencies acting on the provider’s behalf may not bill enrollees for amounts other than applicable TennCare cost sharing or patient liability amounts for covered services, including but not limited to, services that the State or the CONTRACTOR has not paid for, except as permitted by TennCare rules and regulations and as described below. Providers may seek payment from an enrollee only in the following situations.

Appears in 5 contracts

Samples: interactives.commonwealthfund.org, Contractor Risk Agreement, clpc.ucsf.edu

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PROVIDER REQUIREMENTS. 2.6.7.5.1 Providers or collection agencies acting on the provider’s behalf may not bill xxxx enrollees for amounts other than applicable TennCare cost sharing or patient liability amounts for covered services, including but not limited to, services that the State or the CONTRACTOR has not paid for, except as permitted by TennCare rules and regulations and as described below. Providers may seek payment from an enrollee only in the following situations.

Appears in 4 contracts

Samples: Contractor Risk Agreement, An Agreement, Contractor Risk Agreement

PROVIDER REQUIREMENTS. 2.6.7.5.1 2.6.7.4.1 Providers or collection agencies acting on the provider’s behalf may not bill bxxx enrollees for amounts other than applicable TennCare cost sharing or patient liability amounts responsibilities for covered services, including but not limited to, services that the State or the CONTRACTOR has not paid for, except as permitted by TennCare rules and regulations and as described below. Providers may seek payment from an enrollee only in the following situations.

Appears in 1 contract

Samples: Contractor Risk Agreement (Amerigroup Corp)

PROVIDER REQUIREMENTS. 2.6.7.5.1 2.6.7.4.1 Providers or collection agencies acting on the provider’s behalf may not bill xxxx enrollees for amounts other than applicable TennCare cost sharing or patient liability amounts responsibilities for covered services, including but not limited to, services that the State or the CONTRACTOR has not paid for, except as permitted by TennCare rules and regulations and as described below. Providers may seek payment from an enrollee only in the following situations.

Appears in 1 contract

Samples: Contractor Risk Agreement

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PROVIDER REQUIREMENTS. 2.6.7.5.1 Providers or collection agencies acting on the provider’s behalf may not bill xxxx enrollees for amounts other than applicable TennCare cost sharing or patient liability amounts for covered services, including but not limited to, services that the State or the CONTRACTOR has not paid for, except as permitted by TennCare T ennCare rules and regulations and as described below. Providers may seek payment from an enrollee only in the following situations.

Appears in 1 contract

Samples: Contractor Risk Agreement

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