PROTECTION OF MEMBERS. AGAINST PROVIDER CLAIMS (JAN 1996)
PROTECTION OF MEMBERS. In the event that Blue Shield or a Member notifies Group that a Group Provider (or physician providing coverage for such Group Provider), or another provider who provided Capitated Professional Services to the Member is billing, suing, or otherwise attempting to collect (“Collection”) payment from the Member or person responsible for the Member’s care, other than Copayments, Group shall immediately take all reasonable and appropriate actions to stop such Collection. In the event that Group is unable to timely stop such Collection, as determined by Blue Shield, Blue Shield may take any steps it deems appropriate, including payment of the claim, to stop such Collection. In such event, Blue Shield may deduct and offset such payment from any amount then or thereafter payable by Blue Shield to Group.
PROTECTION OF MEMBERS. A. Pursuant to the Statutes of the State of New Jersey:
PROTECTION OF MEMBERS. 17.7.01 Any case of physical assault upon a bargaining unit employee while in the course of his/her employ shall be promptly reported to the Board or its designated representative. Providing the employee was acting within the scope of his/her duties and authority and at the request of the employee involved, the Board will provide the appropriate support to advise the employee of his/her rights and obligations with respect to such assault.
PROTECTION OF MEMBERS. A. The Board recognizes its responsibility to give all reasonable support and assistance to employees with respect to maintenance of control and discipline in the classroom.
PROTECTION OF MEMBERS. No Member, nor any director or officer or Holding Company, Subsidiary or other affiliate of a Member shall by reason of its fiduciary position be in any way precluded from:
PROTECTION OF MEMBERS. A. LEGAL ACTION Whenever any action is brought against a member before the Board or before the Commissioner of Education of the State of New Jersey which may affect his/her employment or salary status, the Board of Education shall reimburse him/her for the cost of his/her defense if the action is dismissed or results in a final decision in favor of the member. This shall not apply to any charges filed by the Board against the member.
PROTECTION OF MEMBERS. A. The Board recognizes the member’s authority and effectiveness in his classroom is enhanced by administrative backing and support:
PROTECTION OF MEMBERS. 1. Except as otherwise provided in Paragraph IV below, in no event, including, but not limited to, non-payment by EmblemHealth or a Payor, EmblemHealth or a Payor’s insolvency or any other breach by EmblemHealth of the terms of this Agreement, shall Practitioner xxxx, charge, collect a deposit from, seek compensation, remuneration or reimbursement from or maintain any action or have any recourse against, any Member or person(s) acting on a Member’s behalf, for Covered Services provided under this Agreement. Practitioner agrees not to impose any administrative fees or surcharges to Members under any circumstances. This provision does not prohibit Practitioner from collecting Copayments (up to the Prevailing Plan Fee Schedule), Coinsurance or Deductibles as specifically stated in the Remittance Advice and provided in accordance with the terms of the Member’s Benefit Program
PROTECTION OF MEMBERS. Molina may not impose any limitations on the acceptance of Medi-Cal Members for care or treatment that it does not impose on its non-Medi-Cal Members. Neither Foundation, Molina, nor any Molina Participating Provider may request, demand, require or seek directly or indirectly the transfer, discharge, or removal of any Medi-Cal Member for reasons of the Medi-Cal Member's need for, or utilization of, Health Care Services.
