Section 4310.15. Collections

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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.

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

                    
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