Payment from Members. Provider agrees to charge and accept as payment in full only the compensation as set forth in the Addendum to this Agreement for dental services provided or in any updates that may later be agreed to by the Provider. Provider may not collect any payment from Members other than those designated in the Covered Benefits Schedule as being the responsibility of Members, such as deductibles, co-payments, and charges for additional services not specified on the Covered Benefits Schedule. Any charges to Members shall not exceed the Provider’s usual and customary fee for that dental service. The Members may not be balanced billed for covered services denied.
Appears in 2 contracts
Samples: Provider Agreement, Provider Agreement
Payment from Members. Provider agrees to charge and accept as payment in full only the compensation as set forth in the Addendum to this Agreement for dental services provided on the Covered Benefits or in any updates that may later be agreed to by the Provider. Provider may not collect any payment from Members Member other than those designated in the Covered Benefits Schedule as being the responsibility of Membersthe Member, such as deductibles, co-paymentscopayments, and charges for additional services and materials not specified on the Covered Benefits Schedule. Any charges to Members the Member shall not exceed the Provider’s usual and customary fee for that dental service. The Members member may not be balanced billed for covered services denied.
Appears in 2 contracts
Samples: Dental Provider Agreement, Dental Provider Agreement