Right of Recovery. Whenever any payment for Covered Services has been made by Us in an amount that exceeds the maximum Benefits available for such services under this Contract or exceeds the Allowable Charge, or whenever payment has been made in error by Us for non-Covered Services, We will have the right to recover such payment from You or, if applicable, the Provider. As an alternative, We reserve the right to deduct from any pending Claim for payment under this Contract any amounts We are owed by You or the Provider.
Appears in 23 contracts
Sources: Limited Benefit Contract, Limited Benefit Contract, Limited Benefit Contract
Right of Recovery. Whenever any payment for Covered Services has been made by Us in an amount that exceeds the maximum Benefits available for such services under this Contract or exceeds the Allowable ChargeBenefit Plan, or whenever payment has been made in error by Us for non-Covered Servicescovered services, We will have the right to recover such payment from You the Subscriber or, if applicable, the Provider. As an alternative, We reserve the right to deduct from any pending Claim for payment under this Contract Benefit Plan any amounts that We are owed by You the Subscriber or the Provider.
Appears in 6 contracts
Sources: Student Group Health Insurance Benefit Plan, Student Group Health Insurance Benefit Plan, Student Group Health Insurance Benefit Plan
Right of Recovery. Whenever any payment for Covered Services has been made by Us in an amount that exceeds the maximum Benefits available for such services under this Contract or exceeds the Allowable Charge, or whenever payment has been made in error by Us for non-Covered Services, We will have the right to recover such payment from You or, if applicable, the Provider. As an alternative, We reserve the right to deduct from any pending Claim for payment under this Contract any amounts that We are owed by You or the Provider.
Appears in 1 contract
Sources: Comprehensive Major Medical Contract