Common Contracts

NETWORK AFFILIATION AGREEMENT

Network Affiliation Agreement • November 8th, 2022 • Michigan

• Contract Type
  Network Affiliation Agreement
• Filed
  November 8th, 2022
• Jurisdiction
  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.