; and (C) a diagnostic test (and administration of such test) as described in section 6001(a) of division F of the Families First Coronavirus Response Act ( 42 U.S.C. 1320b–5 note) administered to an individual. (4) Presumptive case of COVID–19 For purposes of paragraph (3)(B), an individual shall be presumed to have COVID–19 if the medical record documentation of the individual supports a diagnosis of COVID–19, even if the individual does not have a positive in vitro diagnostic test result in the medical record of the individual. (5) Penalty In the case of an eligible health care provider that is paid a reimbursement under this section and that is in violation of paragraph (1) or (2), in addition to any other penalties that may be prescribed by law, the Secretary may recoup from such provider up to the full amount of reimbursement the provider receives under this section. (6) Definitions In this subsection: (A) Nonparticipating provider The term nonparticipating provider means, with respect to an item or service and group health plan or group or individual health insurance coverage offered by a health insurance issuer, a health care provider that does not have a contractual relationship directly or indirectly with the plan or issuer, respectively, for furnishing such an item or service under the plan or coverage. (B) Participating provider The term participating provider means, with respect to an item or service and group health plan or group or individual health insurance coverage offered by a health insurance issuer, a health care provider that has a contractual relationship directly or indirectly with the plan or issuer, respectively, for furnishing such an item or service under the plan or coverage. (C) Group health plan, health insurance coverage The terms group health plan , health insurance issuer , group health insurance coverage , and individual health insurance coverage shall have the meanings given such terms under section 2791 of the Public Health Service Act ( 42 U.S.C. 300gg–91 ). (D) Uninsured