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California Law (Last Updated: March 4, 2014) |
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Insurance Code - INS |
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Division 2. CLASSES OF INSURANCE |
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Part 6.3. ACCESS FOR INFANTS AND MOTHERS |
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Chapter 4. Subscriber Eligibility and Enrollment |
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ARTICLE 1. Eligibility and Coverage |
Section 12698.26.
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(a) A health care provider who is furnished documentation of a subscriber's enrollment in the program shall not seek reimbursement nor attempt to obtain payment for any covered services provided to that subscriber other than from the participating health plan covering the subscriber or from other entities that the board enters into contracts or interagency agreements with to provide or pay for benefits under this part pursuant to subdivision (e) of Section 12696.05.
(b) The provisions of subdivision (a) do not apply to any copayments required under this part for the covered services provided to the subscriber.
(c) For purposes of this section, "health care provider" means any professional person, organization, health facility, or other person or institution licensed by the state to deliver or furnish health care services.