MEDICAL SERVICE AGREEMENTMedical Service Agreement • April 24th, 2014
Contract Type FiledApril 24th, 2014This Acknowledgement is effective (Date to be entered only by Health Plan), by and among Blue Care Network of Michigan, Blue Care of Michigan, Inc. and BCN Service Company (hereinafter collectively referred to as Health Plan), , a Medical Care Group or MCG (Provider) and _ (Practitioner), who is a member of Medical Care Group.