PARTICIPATING PROVIDER AGREEMENTParticipating Provider Agreement • November 23rd, 2015 • New Jersey
Contract Type FiledNovember 23rd, 2015 JurisdictionThis PARTICIPATING PROVIDER AGREEMENT ("Agreement") is made and entered into as of the Effective Date set forth on the signature page of this Agreement, by and between CONSUMER HEALTH NETWORK PLUS, LLC, d/b/a CHN PPO, a New Jersey limited liability company ("CHN"), and the person or entity whose name is listed under the heading "Provider" on the signature page of this Agreement ("Provider").