HELP AMENDMENT TO PARTICIPATING PROVIDER AGREEMENTParticipating Provider Agreement • November 18th, 2015
Contract Type FiledNovember 18th, 2015This Amendment is entered into by and between Blue Cross and Blue Shield of Montana, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, (“BCBSMT”), and (“Participating Provider”) hereinafter referred to as the “Parties.” By executing this Amendment, Participating Provider agrees to participate in the BCBSMT HELP Program Network, under the terms and conditions of the BCBSMT Participating Provider Agreement (the “Agreement”) and this Amendment.