PASSPORT HEALTH PLAN, INC PROVIDER AGREEMENTProvider Agreement • January 2nd, 2020 • Kentucky
Contract Type FiledJanuary 2nd, 2020 JurisdictionThis Provider Agreement (this "Agreement") is made and entered into as of the Effective Date (as defined in Section 1 herein) by and between Passport Health Plan, Inc ("HMO"), and the person(s) or entity identified on the signature page ("Provider").