The contract provision that states a physician cannot seek payment from a patient under a managed care contract in relation to any benefit penalties that were applied based on a utilization review decision is:

Question

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The provision described is the hold harmless clause, which protects the patient from healthcare providers seeking payment for penalties related to utilization review decisions made by managed care organizations. This clause ensures that the financial responsibility for these penalties falls on the managed care organization, not the patient.

The Contract Provision That States a Physician Cannot Seek Payment