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4.3 Coordination of Benefits and Third Party Liability Provider agrees to cooperate with Payors' coordination of benefits (COB) and third party liability policies and programs . When Payer 's Benefit Plan is primary, Provider shall accept payment of the amount for the Covered Services on the FCHN fee schedule set forth in Schedule B to this Agreement as payment in full from Payor, subject to Provider's right to collect Co-payments, Deductibles, Coinsurance and payments for non-covered services from the Participant. When Payor's Benefit Plan is secondary , Provider shall first look to and promptly bill and take reasonable steps to collect payment from the primary plan . Provider may seek additional payment from a Payor whose Benefit Plan is secondary in accordance with this Agreement and applicable laws regarding COB ; provided however that in no event shall a Payor be obligated to pay more than 100 percent of the amount on FCHN fee schedule set forth in Schedule B to this Agreement and in no event shall Provider be entitled to total compensation exceeding 100 percent of its billed charges. When a Payor has a self-funded 0enefit Plan, COB is determined by the Benefit Plan and is not subject to state insurance laws. A self-funded Benefit Plan may only be required to pay up to the primary payor's allowable expense depending on the terms of its COB provision. Provider has the right to request a copy of the Payor's documented COB and third party liability policies and programs. If Provider receives payment from another plan which is primary under COB, and that payment is equal to or greater than the contracted rates set forth in this Agreement , Provider agrees to not seek additional reimbursement from Payor or to promptly refund any amounts already paid to Provider by Payor . 5. MAINTENANCE OF RECORDS, INSPECTION AND AUDIT 5.1 Maintenance of Records 5.2 5.3 5.4 FCHN-PRO-042016 Provider shall prepare and maintain all appropriate medical, administrative and financial records for each Participant who receives services from Provider. Such records shall be maintained in such form and manner as is required by law and generally accepted medical practice and professional ethics . FCHN shall have the right to request, inspect and audit any and all records of Provider related to a Participant as permitted by law, and as may be necessary for FCHN or a Payor to perform its obligations under this Agreement. Where documents are requested by FCHN or a Payor for audit, accreditation and/or oversight review purposes , FCHN or the Payor shall reimburse Provider for reasonable costs incurred in providing copies of requested documents, not to exceed a rate of twenty-five cents ($.25) per page. FCHN or Payor shall not reimburse Provider for copies of documents requested for purposes of payment of claims, resolution of quality of care or service concerns , complaints and/or grievances , or Medical Management Program review and coverage determinations. Provider shall have the right to request, inspect and audit any and all records of FCHN or Payor directly related to a Participant as permitted by law, and as may be necessary for Provider to perform its obligations under this Agreement. Record Retention Both parties shall retain all records relating to this Agreement for a minimum of seven (7) years . External Audits Both parties agree to cooperate with any external audits mandated by state or federal law , and shall make health records available to appropriate state and federal authorities involved in assessing the quality of care or investigating complaints, grievances, appeals , or review of any adverse benefit determinations of Participants, subject to applicable state and federal laws related to the confidentiality of medical records. Both parties shall cooperate v.ith review of encounter data in relation to the administration of Payor risk adjustment and reinsurance programs if applicable. Claims Audit 9