Common Contracts

AMBULANCE PROVIDER PARTICIPATION AGREEMENT

Participation Agreement • February 16th, 2017 • Michigan

• Contract Type
  Participation Agreement
• Filed
  February 16th, 2017
• Jurisdiction
  Michigan

THIS AGREEMENT is made by and between Blue Cross and Blue Shield of Michigan (BCBSM) and Blue Care Network of Michigan, Blue Care of Michigan, Inc. and BCN Service Company (these three collectively as BCN) and the undersigned Ambulance Operator (Provider).