Common use of How Your Covered Health Care Services Are Paid Clause in Contracts

How Your Covered Health Care Services Are Paid. Payments we make to you are personal and you cannot transfer or assign any of your right to receive payments under this agreement to another person or organization. You must file all claims within one calendar year of the date you receive a covered health care service. Member submitted claims that arrive after this deadline are invalid unless: • it was not reasonably possible for you to file your claim prior to the filing deadline; AND • you file your claim as soon as possible but no later than ninety (90) calendar days after the filing deadline elapses (unless you are legally incapable). Any payments to you or the provider fulfill any responsibility of either the plan or Blue Cross & Blue Shield of Rhode Island under this agreement. Your benefits are personal to you and cannot be assigned, in whole or in part, to another person or organization. Network providers file claims for you and must do so within one hundred and eighty (180) days of providing a covered health care service to you. Non-network providers may or may not file claims for you. If the non-network provider does not file the claim on your behalf, you will need to file the claim yourself. To file a claim, please send us an itemized xxxx including the following: • patient's name; • your member identification number; • the name, address, and telephone number of the provider who performed the service; • date and description of the service; AND • charge for that service. Please mail medical claims to: Blue Cross & Blue Shield of Rhode Island Attention: Claims Department 000 Xxxxxxxx Xxxxxx Xxxxxxxxxx, XX 00000

Appears in 3 contracts

Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement

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How Your Covered Health Care Services Are Paid. Payments we make to you are personal and you cannot transfer or assign any of your right to receive payments under this agreement to another person or organization. You must file all claims within one calendar year of the date you receive a covered health care service. Member submitted claims that arrive after this deadline are invalid unless: it was not reasonably possible for you to file your claim prior to the filing deadline; AND you file your claim as soon as possible but no later than ninety (90) calendar days after the filing deadline elapses (unless you are legally incapable). Any payments to you or the provider fulfill any responsibility of either the plan or Blue Cross & Blue Shield of Rhode Island under this agreement. Your benefits are personal to you and cannot be assigned, in whole or in part, to another person or organization. Network providers file claims for you and must do so within one hundred and eighty (180) days of providing a covered health care service to you. Non-network providers may or may not file claims for you. If the non-network provider does not file the claim on your behalf, you will need to file the claim yourself. To file a claim, please send us an itemized xxxx including the following: patient's name; your member identification number; the name, address, and telephone number of the provider who performed the service; date and description of the service; AND charge for that service. Please mail medical claims to: Blue Cross & Blue Shield of Rhode Island Attention: Claims Department 000 Xxxxxxxx Xxxxxx Xxxxxxxxxx, XX 00000

Appears in 2 contracts

Samples: Subscriber Agreement, Subscriber Agreement

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