78 Member’s Cooperation You will be expected to complete and submit to us all such authorizations, consents, releases, assignments and other documents that may be needed in order to obtain or assure reimbursement under Medicare, Workers’ Compensation or any other governmental pro gram. If you fail to cooperate , you will be responsible for any charge for services. Payment of Benefits You authorize the Claims Administrator, in its own discretion and on behalf of the Employer, to make payments directly to Providers for Covered Services. In no event, however, shall the Plan’s right to make payments directly to a Provider be deemed to su ggest that any Provider is a beneficiary with independent claims and appeal rights under the Plan. The Claims Administrator also reserves the right, in its own discretion, to make payments directly to you as opposed to any Provider for Covered Service, at our discretion. In the event that payment is made directly to you, you have the responsibility to apply this payment to the claim from the Out - of - Network Provider. Payments and notice regarding the receipt and/or adjudication of claims may also be sent t o an Alternate Recipient (which is defined herein as any child of a Subscriber who is recognized under a “Qualified Medical Child Support Order” as having a right to enrollment under the Employer’s Plan), or that person’s custodial parent or designated rep resentative. Any payments made by the Claims Administrator (whether to any Provider for Covered Service or You) will discharge the Plan’s obligation to pay for Covered Services. You cannot assign your right to receive payment to anyone, except as require d by a “Qualified Medical Child Support Order” as defined by, and if subject to, ERISA or any applicable Federal law. Once a Provider performs a Covered Service, the Claims Administrator will not honor a request to withhold payment of the claims submitted. The coverage, rights, and benefits under the Plan are not assignable by any Member without the written consent of the Plan, except as provided above. This prohibition against assignment includes rights to receive payment, claim benefits under the Plan and /or law, sue or otherwise begin legal action, or request Plan documents or any other information that a Participant or beneficiary may request under ERISA. Any assignment made without written consent from the Plan will be void and unenforceable. Inter - Plan Arrangements Out - of - Area Services O v e r v iew We have a vari e t y of re l a t i o n s h i ps w i th ot h er B l ue C r o s s a n d / or B l ue S h i e l d L i c e n s e e s . G e n er a l l y , t h e s e r e l a t i o n s h i ps a r e ca l l ed “I n te r - P l an A rr a n g e m e n t s .” T h e s e Inter - P l an A rr a n g e m e n ts work b a s ed on r u l es a n d p r o c e d ures i ss u e d b y t h e B l u e C r o s s Bl u e S h i e l d A ss o ci at i on ( “ A ss o ci at i o n” ) . W h e n ev er y o u a cc e s s h e a l thcare s e r vi c es o u t s i de t he g e o g r a p h i c area we s er v e (the “ Anthem Service Area”), t he cl a i m f or those ser vi c es m a y b e p r o c e ss ed throu g h o ne of t h e s e I n t e r - Pl a n A rr a n g e m e n t s . T he I n te r - Pl a n A rr a n g e m e n ts are d e scr i b e d b e l o w . W h en y ou re c e i v e care o u t s i de of the Anthem S er vi c e A r e a, y o u w i l l re c e i v e i t f r o m o n e of t w o k i n d s of Pro v i d e rs . M o s t P r o v i d ers ( “ p a r t i c i p at i ng pro v i d e rs” ) c o n tra c t w i th t h e l o c a l B l ue C r o s s a n d/ o r B l ue S h i e l d Plan i n t h a t g e o g r a p h i c area ( “ Ho s t B l u e ”) . S o m e P r o v i d ers (“ n o n p ar t i c i p at i ng p r o v i d e r s ” ) d o n ’ t c o n tra c t w i th the H o s t Bl u e. We explain b e l o w ho w we pay b oth k i n d s of P r o v i d e rs .