Common use of Services of Non-Participating Dentists Clause in Contracts

Services of Non-Participating Dentists. 1. Claims may be submitted directly to CareFirst by the Non-Participating Dentist or the Member. In either case, it is the responsibility of the Member to make sure that proof of loss is filed on time as stated in the Proof of Loss section of the Agreement. 2. All benefits for Covered Dental Services rendered by a Non-Participating Dentist will be payable to the Subscriber or to the Non-Participating Dentist, at the discretion of CareFirst. 3. The Member is responsible for the difference between the CareFirst payment and the Non-Participating Dentist’s charge.

Appears in 9 contracts

Samples: Individual Enrollment Agreement for a Qualified Health Plan, Individual Enrollment Agreement for a Qualified Health Plan, Individual Enrollment Agreement for a Qualified Health Plan

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