Common Contracts
1 similar Provider Participation Agreement contracts
BLUE CROSS BLUE SHIELD OF MICHIGAN INDEPENDENT PHYSICAL THERAPIST PROVIDER PARTICIPATION AGREEMENTProvider Participation Agreement • January 28th, 2022 • Michigan
THIS AGREEMENT by and between Blue Cross and Blue Shield of Michigan (BCBSM), whose address is 600 E. Lafayette Blvd., Detroit, Michigan 48226, and the undersigned Independent Physical Therapist (Provider) who has executed and returned to BCBSM the attached Signature Document acknowledging receipt of this Agreement and to be bound by its terms and conditions. Under this Agreement, BCBSM and Provider agree as follow:
