Laserfiche WebLink
Docusign Envelope lD: CEBC6B3C-DFA1-4B6C-AFE8-6A4A63440080 <br />2.9.2.2 Facility may determine that a Member is a Dual Eligible Enrollee by reviewing <br />plan information on the Member's ID card, through the CHPW intemet provider portals, <br />or as otherwise set forth in the Provider Manual. <br />2.10 Non-Covered Services. Facility and professional providers rendering services within the <br />Facility shall notifu Members of their personal financial obligations for non-Covered Services <br />before rendering such services. Facility and Facility-Based Providers shall not bill a Member for <br />non-Covered Services unless the Member has, prior to the provision of non-Covered Services, <br />signed a written acknowledgement and acceptance of financial responsibility after full written <br />disclosure of (i) Facility's intent to bill Member for non-Covered Services, and (ii) the non- <br />liability of CHPW for such non-Covered Services. <br />2.11 Hold Harmless and Insolvency <br />2.11.I In no event, including, but not limited to non-payment by CHPW, CHPW insolvency, <br />or breach of this Agreement, shall Facility bill, charge, collect a deposit from, seek <br />compensation? remuneration or reimbursement from, or have any recourse against HCA, a <br />Member, or person acting on a Member's behalf other than CI{PW for Covered Services <br />provided pursuant to this Agreement. This provision shall not prohibit Facility's collection of <br />Copayments, Coinsurance and Deductibles andlor fees for non-Covered Services from <br />Member in accordance with the terms of this Agreement and Member's Benefit Plan that <br />have not otherwise been paid by a primary or secondary carrier in accordance with regulatory <br />requirements for coordination of benefits. <br />2.ll.2In the event of CHPW's insolvency, Facility shall continue to provide the Covered <br />Services promised in this Agreement to Members for the duration of the period for which <br />premiums on behalf of Members were paid to CHPW or until Member is discharged from <br />inpatient facilities, whichever time is greater. <br />2.11.3 Notwithstanding any other provision herein, nothing in this Agreement shall be <br />construed to modifu the rights and benefits contained in a Member's Benefit Plan. <br />2.11.4 Facility may not bill Members for Covered Services (except for Copayments, <br />Coinsurance and Deductibles) when CHPW denies payment because Facility failed to <br />comply with the terms of this Agreement. <br />2.ll.5If Facility contracts with other providers or facilities to provide Covered Services to <br />Members with the expectation of receiving payment directly or indirectly from CHPW, such <br />providers or facilities must agree to abide by the requirements of this Section 2. 1 1 . <br />2.I1.6 This Section2.lI shall survive termination of this Agreement regardless of the cause <br />giving rise to such termination and shall be construed to be for the benefit of Members, and <br />this provision supersedes any oral or written contrary agreement now existing or hereafter <br />entered into between Facility and Members or persons acting on their behalf. <br />2020 Facility Agmt - Template Page 9 of51 Contract #5908-662684