Common Contracts

1 similar Therapy Facility Participation Agreement contracts

HOME INFUSION THERAPY FACILITY PARTICIPATION AGREEMENT
Therapy Facility Participation Agreement • April 17th, 2018 • Michigan

This Agreement by and between Blue Cross Blue Shield of Michigan (“BCBSM”), a nonprofit health care corporation, and the undersigned Home Infusion Therapy facility (“Provider”), that is located in Michigan or in a non-Michigan BCBSM approved location and authorized under applicable state law to conduct business, and whose name and primary site address are listed on the accompanying Signature Document. Pursuant to this Agreement, BCBSM and Provider agree as follows:

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