Ambulatory Infusion Center Participation Agreement Sample Contracts

AMBULATORY INFUSION CENTER PARTICIPATION AGREEMENT
Ambulatory Infusion Center Participation Agreement • November 29th, 2017 • Michigan

This Agreement by and between Blue Cross Blue Shield of Michigan (“BCBSM”), a nonprofit health care corporation, and the undersigned Ambulatory Infusion Center (“Provider”), that is located in Michigan and authorized under applicable state law to conduct business, and whose name and primary site address are listed on the accompanying Signature Document. Pursuant to this Agreement, BCBSM and Provider agree as follows:

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