Restrictions on Additional Fees and Charges Sample Clauses

Restrictions on Additional Fees and Charges. Highmark’s allowances for Provider Services that are Covered Services include reimbursement for supplies, overhead, and other expenses. Therefore, Professional Provider shall not bill or collect from a Member, Highmark or Health Plan any fees or charges itemized and distinguished from Provider Services provided and submitted to Highmark for payment unless such fees or charges are expressly permitted under applicable Plan Documents or Administrative Requirements. Nothing in this section is intended to prohibit collection of missed appointment or late appointment penalties so long as the Member is provided with notice and agrees in writing to accept responsibility for such penalties.
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Related to Restrictions on Additional Fees and Charges

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