PARTICIPATING PROVIDER AGREEMENTParticipating Provider Agreement • October 26th, 2016 • Louisiana
Contract Type FiledOctober 26th, 2016 JurisdictionTHIS PARTICIPATING PROVIDER AGREEMENT (the “Agreement”), effective as of , 20 (the “Effective Date”), is made and entered into by and among Zelis Network Solutions, LLC on behalf of itself, subsidiaries, and affiliates, including any and all entities under common ownership or control, with principal offices located at Two Concourse Parkway, Suite 300, Atlanta, GA 30328, (hereinafter referred to as “Network”) and “Network Provider” as defined below: