California § 15838 - A provider who is furnished documentation of a subscriber

§ 15838. A provider who is furnished documentation of a subscriber

(a) A provider who is furnished documentation of a subscriber’s enrollment in the program shall not seek reimbursement or attempt to obtain payment for any covered services provided to that subscriber other than from the participating health plan or insurer covering the subscriber or from the department. (b) Subdivision (a) shall not apply to any copayment required by the department under this chapter for the covered services provided to the subscriber. (c) For purposes of this chapter, “provider” means any professional person, organization, health facility, or other person or institution licensed by the state to deliver or furnish health care services and includes as that term is defined in subdivision (o) of Section 14043.1.