Common use of Enrollee Billing, Generally Clause in Contracts

Enrollee Billing, Generally. (A) Except as otherwise provided for in this Contract, no claim for payment shall be made at any time by the Contractor or its Participating Providers to an Enrollee accepted by that Participating Provider as an Enrollee for any Covered Service. (B) When a Provider accepts an Enrollee as a patient he or she shall look solely to the Contractor and any third party coverage for reimbursement. If the Provider fails to receive payment from the Contractor, the Enrollee cannot be held responsible for these payments.