Common use of In-Network Services Clause in Contracts

In-Network Services. In-network services are services obtained from a Network Provider. The PCO must make timely payment for clean claims submitted by Network Providers in accordance with 40 P.S. §991.2166 and 31 Pa. Code §154.18. Except as required by law, the PCO is not financially liable for services rendered to treat a non-emergency condition in a hospital emergency room.

Appears in 2 contracts

Sources: Grant Agreement, Private Coverage Organization Agreement