Common use of Third Party Liens Clause in Contracts

Third Party Liens. In the event a Member seeks and obtains a recovery from a third party or a third party’s insurer for injuries caused to that Member, and only to the extent permitted by the Member’s Evidence of Coverage and by California law, Group shall have the right to assert a third party lien for and to recover from the Member the reasonable value of Capitated Professional Services provided to the Member by Group for the injuries caused by the third party. Group’s pursuit and recovery under third party liens shall be conducted in strict accordance with the procedures set forth in the Provider Manual. Blue Shield shall similarly have the right to assert a lien for and recover for payments made by Blue Shield for such injuries. Group shall cooperate with Blue Shield in identifying such third party liability claims and in providing such information, within such time frames, as set forth in the Provider Manual.

Appears in 5 contracts

Samples: Savings Provider Agreement (Prospect Medical Holdings Inc), Shared Savings Provider Agreement (Prospect Medical Holdings Inc), Provider Agreement (Prospect Medical Holdings Inc)

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