PPO PROVIDER AGREEMENTBlue Cross Blue • August 24th, 2022 • Michigan
Contract Type FiledAugust 24th, 2022 JurisdictionThis Medicare Advantage (“MA”) PPO Provider Agreement (“Agreement”) is entered into by Blue Cross Blue Shield of Michigan, a Michigan nonprofit healthcare corporation (“BCBSM”) and the undersigned Provider who is fully licensed or legally authorized to practice in the state of Michigan (“Provider”).