Common use of Claims Management Clause in Contracts

Claims Management. Provider shall not require any co-payments, recipient pay amounts, or other cost sharing arrangements unless specifically authorized by state or federal regulations and/or policies. Provider may not ▇▇▇▇ individuals for the difference between the Provider’s charge and BABHA’s payment for services. Provider shall not seek nor accept additional supplemental payment from the individual, his/her family, or representative, for services authorized by BABHA. Provider shall not hold a Medicaid enrollee liable for any costs, charges, fees or other liabilities in the event that BABHA becomes insolvent, for which payment is not made by BABHA, the State, or other authorized payer, or for which Provider has not or will not be paid by BABHA, the State or other authorized payor.