Common Contracts
1 similar Outpatient Physical Therapy Facility Affiliation Agreement contracts
NETWORK AFFILIATION AGREEMENTOutpatient Physical Therapy Facility Affiliation Agreement • November 8th, 2022 • Michigan
This Agreement by and between Blue Cross Blue Shield of Michigan (“BCBSM”), a nonprofit health care corporation, and the undersigned Outpatient Physical Therapy Facility (“Provider”), that is located in Michigan and authorized 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.
