Common Contracts

BLUE CROSS AND BLUE SHIELD OF MICHIGAN PRACTITIONER TRADITIONAL PARTICIPATION AGREEMENT

Traditional Participation Agreement • January 28th, 2022 • Michigan

• Contract Type
  Traditional Participation Agreement
• Filed
  January 28th, 2022
• Jurisdiction
  Michigan

THIS AGREEMENT is made by and between Blue Cross Blue Shield of Michigan, a Michigan nonprofit healthcare corporation, (“BCBSM”) and the undersigned Practitioner who is fully licensed or legally authorized to practice in the state of Michigan ("PRACTITIONER").