Common use of Submission of Insurance Claims Clause in Contracts

Submission of Insurance Claims. I understand that Evolve will NOT submit any claims for Services to my insurance plan on my behalf, and that I am solely responsible for submitting such claims if I choose to seek reimbursement from my insurance plan for such Services. I also understand that any reimbursement by my insurance plan will be sent directly to me. If Evolve is mistakenly reimbursed by my insurance plan, then Evolve will return the check to my insurance plan. I understand that my insurance plan may not pay at all for some Services provided by Evolve and may only make a partial payment for other Services provided by Evolve. I further understand that Evolve makes no representations or promises regarding the amount of payment to be received for any claim(s) I may submit to my insurance plan. Medicare and HMOs do NOT permit me to submit claims for Services provided by Evolve, and I agree not to submit a claim for any such services to Medicare or any HMO.