Common Contracts

2 similar Business Associate Agreement contracts

FOUNDATION ACCOUNTABLE CARE NETWORK ACO PARTICIPANT AGREEMENT
Business Associate Agreement • September 5th, 2017 • California

This ACO Participant Agreement (“Agreement”), is by and between FOUNDATION ACCOUNTABLE CARE NETWORK (“ACO”), 3993 Jurupa Avenue, Riverside, CA 92506, and

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▪ ACO Participation Agreement (PA): Pages 1, 2, 16, 21
Business Associate Agreement • May 30th, 2017 • California

🞎 ACO PARTICIPATION AGREEMENT (PA): Page 2 can be signed by a group signatory. Each provider under the TIN must receive a copy (which you can email to them) however, please complete the following:

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