Common Contracts
2 similar Ambulatory Surgery Facility Participation Agreement contracts
BLUE CROSS BLUE SHIELD OF MICHIGAN AMBULATORY SURGERY FACILITY PARTICIPATION AGREEMENTAmbulatory Surgery Facility Participation Agreement • July 4th, 2022 • Michigan
This Agreement by and between Blue Cross Blue Shield of Michigan (BCBSM), a nonprofit health care corporation, and the undersigned Ambulatory Surgical Facility (Provider), that is duly licensed under applicable state law to conduct business, and whose tax name, business name (or DBA) and primary site address are listed on the accompanying Signature Document, and whose additional approved sites, if applicable, are listed on Addendum H. Pursuant to this Agreement, BCBSM and Provider agree as follows:
BLUE CROSS BLUE SHIELD OF MICHIGAN AMBULATORY SURGERY FACILITY PARTICIPATION AGREEMENTAmbulatory Surgery Facility Participation Agreement • November 30th, 2017 • Michigan
This Agreement by and between Blue Cross Blue Shield of Michigan (BCBSM), a nonprofit health care corporation, and the undersigned Ambulatory Surgical Facility (Provider), that is duly licensed under applicable state law to conduct business, and whose tax name, business name (or DBA) and primary site address are listed on the accompanying Signature Document, and whose additional approved sites, if applicable, are listed on Addendum H. Pursuant to this Agreement, BCBSM and Provider agree as follows:
