Common use of Further, PPM Clause in Contracts

Further, PPM. acknowledges and agrees and shall require PPM Physicians to acknowledge and agree that HUMANA may deny payment of medical services rendered to Members, which are determined not to be Medically Necessary by HUMANA. PPM agrees and shall require PPM Physicians to agree that in the event of a denial of payment for services rendered to Members that are determined not to be Medically Necessary, PPM shall not and shall require PPM Physicians to agree not to bil▇, ▇harge, seek payment or have any recourse against Members or persons other than HUMANA acting on their behalf for medical services provided pursuant to this Agreement.

Further, PPM. acknowledges and agrees and shall require PPM Physicians to acknowledge and agree that HUMANA may deny payment of medical services rendered to Members, which are determined not to be Medically Necessary by HUMANA. PPM agrees and shall require PPM Physicians to agree that in the event of a denial of payment for services rendered to Members that are determined not to be Medically Necessary, PPM shall not and shall require PPM Physicians to agree not to bil▇bill, ▇harge▇arge, seek payment or have any recourse against Members or persons other than HUMANA acting on their behalf for medical services provided pursuant to this Agreement.