Balance Billing. Notwithstanding any provisions of the Agreement and Exhibit D, if Company obtains knowledge that Provider has engaged in “Balance Billing” in violation of this Agreement and applicable law, Company may direct Provider to immediately refund such amounts to Members. Any such fine may be offset against payments due to Provider by Company. Company may also report said violations of law to CMS and/or LDI. See La. R.S. 22:1880.
Appears in 3 contracts
Sources: Ancillary Agreement, Physician Group Agreement, Hospital Services Agreement