| (a) Eligible providers must agree that payment received for covered services will be accepted as payment in full and must agree that they will not bill the member or the member's guardian for any remaining balance for covered services rendered. (b) The prohibition in subsection (a) of this section does not apply to unauthorized out-of-network services, or to services that are not a covered benefit. (c) Eligible providers may not bill or take other recourse against the member or the member's guardian for claims denied as a result of error attributed to the eligible provider or Claims Processing Entity. |
