Examples of Covered Services in a sentence
Provider agrees to use commercially reasonable efforts to collect, and not to waive, any Copayments, Coinsurance and Deductibles for Covered Services.
Provider understands that Crescent intends to enter into Crescent Network Access Agreements with Payors under which Crescent will be required to arrange certain Covered Services, including Provider Services, within the Service Area to Members of Plans sponsored or issued by the contracting Payors.
Unless otherwise directed by Xxxxx or TPA, Provider may verify the current status of the Member’s eligibility for Covered Services by requesting the Member to present his or her identification card or by contacting Payor or Xxxxx’s designee during normal business hours.
Provider agrees to cooperate with Crescent and Payor (or designee) and respond, at the requestor’s expense, to reasonable requests for information related to the provision of Covered Services by Provider.
To the extent required by the applicable Crescent Network Access Agreement, Provider may only charge, bill and collect from a Member charges for healthcare services which are not Covered Services if the Member has signed a waiver acknowledging that such services were not authorized for reimbursement by Xxxxx and that the Member will pay such charges.