Common use of Member Eligibility Clause in Contracts

Member Eligibility. A Service provided to an Eligible Member can be submitted to HBF for a claim under the terms of this Agreement, if: (a) the Service is eligible for a Medicare benefit and a Medicare item number is provided for each Service (b) where the Services were performed in a public hospital, the Eligible Member was validly admitted to the public hospital as a private patient, including meeting recognised industry guidelines for such admissions; (c) no compensation, damages or benefits may be claimed from another source for the Service to the Eligible Member; and (d) the account is unpaid and sent directly to HBF by, or on behalf, of the Practitioner.

Member Eligibility. A Service provided to an Eligible Member can be submitted to HBF for a claim under the terms of this Agreement, ifAgreement provided: (a) the Service is eligible for a Medicare benefit and a Medicare item number is provided for each Service; (b) where the Services were performed in a public hospital, the Eligible Member was validly admitted to the public hospital as a private patient, including meeting recognised industry guidelines for such admissions; (c) no compensation, damages or benefits may be claimed from another source for the Service to the Eligible Member; and (dc) the account is unpaid and sent directly to HBF by, or on behalf, of the Practitioner.