Common Contracts
3 similar Provider Participation Attestation contracts
ATTACHMENT CProvider Participation Attestation • January 21st, 2016
WHEREAS, Cenpatico Behavioral Health, LLC ("Cenpatico"), has executed an Agreement with ("Group") dated (date to be completed by Cenpatico) pursuant to which Group has agreed to provide Covered Services to Cenpatico Covered Persons through Group Clinicians (the "Agreement"); and
ATTACHMENT BProvider Participation Attestation • January 21st, 2016
("Group") (insert name of contracting Group) dated (date to be completed by Cenpatico) pursuant to which Group has agreed to provide Covered Services to Cenpatico Covered Persons through Group Clinicians (the "Agreement"); and
ATTACHMENT BProvider Participation Attestation • January 20th, 2016
("Group") (insert name of contracting Group) dated (date to be completed by Cenpatico) pursuant to which Group has agreed to provide Covered Services to Cenpatico Covered Persons through Group Clinicians (the "Agreement"); and
