§ 4310.15. Collections.

 If a third-party payment is received, the LLR/client is liable for that portion of the charges not covered by the payment up to their maximum liability. When a third-party payor makes direct payment to a LLR/client, the amount paid by the insurance company is payable to the provider in full in addition to the liability assessment against the client/LLR except when the imposition of client/LLR liability would exceed the monthly per diem rate for the facility.

Source

   The provisions of this §  4310.15 adopted December 3, 1982, effective December 4, 1982, 12 Pa.B. 4149.

---

No part of the information on this site may be reproduced for profit or sold for profit.

This material has been drawn directly from the official Pennsylvania Code full text database. Due to the limitations of HTML or differences in display capabilities of different browsers, this version may differ slightly from the official printed version.