Common Contracts
5 similar Participation Agreement contracts
BLUE CROSS BLUE SHIELD OF MICHIGAN BOARD CERTIFIED BEHAVIOR ANALYST PARTICIPATION AGREEMENTParticipation Agreement • February 3rd, 2022 • Michigan
THIS AGREEMENT is made by and between Blue Cross Blue Shield of Michigan a Michigan nonprofit healthcare corporation, (“BCBSM”) and the undersigned Board Certified Behavior Analyst who is legally authorized to practice in Michigan ("Provider").
BLUE CROSS BLUE SHIELD OF MICHIGAN CLINICAL LICENSED MASTER’S SOCIAL WORKER TRADITIONAL PARTICIPATION AGREEMENTParticipation Agreement • January 31st, 2022 • Michigan
THIS AGREEMENT is made by and between Blue Cross Blue Shield of Michigan a Michigan nonprofit healthcare corporation, (“BCBSM”) and the undersigned Clinical Licensed Master’s Social Worker, who is licensed or legally authorized to practice in Michigan ("Provider").
TRADITIONAL PARTICIPATION AGREEMENTParticipation Agreement • January 29th, 2022 • Michigan
THIS AGREEMENT is made by and between Blue Cross Blue Shield of Michigan (“BCBSM”) a Michigan nonprofit healthcare corporation, and the undersigned Independent Therapist (“Provider”) who is licensed or legally authorized to practice in Michigan.
BLUE CROSS BLUE SHIELD OF MICHIGAN CERTIFIED NURSE PRACTITIONER PARTICIPATION AGREEMENTParticipation Agreement • January 29th, 2022 • Michigan
THIS AGREEMENT is made by and between Blue Cross Blue Shield of Michigan a Michigan nonprofit healthcare corporation, (“BCBSM”) and the undersigned Certified Nurse Practitioner, who is licensed or legally authorized to practice in Michigan ("Provider").
BLUE CROSS BLUE SHIELD OF MICHIGAN CLINICAL LICENSED MASTER’S SOCIAL WORKER TRADITIONAL PARTICIPATION AGREEMENTParticipation Agreement • June 9th, 2010 • Michigan
THIS AGREEMENT is made by and between Blue Cross Blue Shield of Michigan a Michigan nonprofit healthcare corporation, (“BCBSM”) and the undersigned Clinical Licensed Master’s Social Worker, who is licensed or legally authorized to practice in Michigan ("Provider").
