Common Contracts
2 similar Emblemhealth Participating Practitioner Agreement contracts
EMBLEMHEALTH PARTICIPATING PRACTITIONER AGREEMENTEmblemhealth Participating Practitioner Agreement • January 30th, 2015 • New York
Group Health Incorporated and the other EmblemHealth companies listed on the attached addendum, if any, and their affiliated and successor companies (referred to hereinafter as “EmblemHealth”), is pleased to contract with the undersigned Practitioner (“Practitioner”) for the provision of Covered Services to Members. Practitioner shall render Covered Services to Members according to the terms and conditions of this Agreement, EmblemHealth’s Administrative Guidelines, Provider Manual and policies and procedures, and each Member’s Benefit Program listed on Attachment B. Practitioner agrees to abide by the Quality Improvement, Utilization Management, Claims Submission and other applicable rules, policies and procedures of EmblemHealth. This Agreement (consisting collectively of this page, the body of the agreement that follows, the Prevailing Plan Fee Schedule and terms annexed hereto as Attachment A, plus the Addendums and Attachments which are incorporated herein and the Administrative G
EMBLEMHEALTH PARTICIPATING PRACTITIONER AGREEMENTEmblemhealth Participating Practitioner Agreement • January 30th, 2015 • New York
Group Health Incorporated and the other EmblemHealth companies listed on the attached addendum, if any, and their affiliated and successor companies (referred to hereinafter as “EmblemHealth”), is pleased to contract with the undersigned Practitioner (“Practitioner”) for the provision of Covered Services to Members. Practitioner shall render Covered Services to Members according to the terms and conditions of this Agreement, EmblemHealth’s Administrative Guidelines, Provider Manual and policies and procedures, and each Member’s Benefit Program listed on Attachment B. Practitioner agrees to abide by the Quality Improvement, Utilization Management, Claims Submission and other applicable rules, policies and procedures of EmblemHealth. This Agreement (consisting collectively of this page, the body of the agreement that follows, the Prevailing Plan Fee Schedule and terms annexed hereto as Attachment A, plus the Addendums and Attachments which are incorporated herein and the Administrative G
