Common Contracts

3 similar Independent Provider Agreement contracts

INDEPENDENT PROVIDER AGREEMENT [FEE FOR SERVICE]
Independent Provider Agreement • May 22nd, 2024

This INDEPENDENT PROVIDER AGREEMENT (this “Agreement”) is entered into between California Physicians’ Service, dba Blue Shield of California, a California nonprofit corporation, (“Blue Shield”) and (“Provider”), with reference to the following:

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INDEPENDENT PROVIDER AGREEMENT [FEE FOR SERVICE]
Independent Provider Agreement • April 15th, 2022 • California

This INDEPENDENT PROVIDER AGREEMENT (this “Agreement”) is entered into between California Physicians’ Service, dba Blue Shield of California, a California nonprofit corporation, (“Blue Shield”) and (“Provider”), with reference to the following:

INDEPENDENT PROVIDER AGREEMENT [FEE FOR SERVICE]
Independent Provider Agreement • October 11th, 2021

This INDEPENDENT PROVIDER AGREEMENT (this “Agreement”) is entered into between California Physicians’ Service, dba Blue Shield of California, a California nonprofit corporation, (“Blue Shield”) and (“Provider”), with reference to the following:

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