Ancillary Provider Agreement Sample Contracts
FEE SCHEDULE ADVISORY AND AMENDMENT 2021Ancillary Provider Agreement • June 3rd, 2021
This Advisory and Amendment (“2021 Amendment”), effective July 1, 2021, modifies certain compensation and other provisions of your Ancillary Provider Agreement, as may have been amended, (collectively “Provider Agreement”) with Keystone Health Plan East, AmeriHealth HMO, Inc., and QCC Insurance Company (collectively referred to herein as “Independence”).
Standard Contracts
EX-10.27 6 dex1027.htm BC AND BS OF TEXAS ANCILLARY PROVIDER AGREEMENT BLUE CROSS AND BLUE SHIELD OF TEXAS ANCILLARY PROVIDER AGREEMENT FOR PPO/POS NETWORK PARTICIPATIONAncillary Provider Agreement • May 5th, 2020 • Texas
This Agreement is entered into by and between Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association (“BCBSTX”), and Certified Diabetic Supplies, Inc., on behalf of each of the individual Ancillary Providers and Provider numbers listed herein in Exhibit C (“Ancillary Provider”).
GLOBAL MEDICAL SOLUTIONS, INC. EXHIBIT 6.17 ANCILLARY PROVIDOR AGREEMENT As a provider of medical services or products, your participation will allow Global Medical Solutions (GMS) to market your products or services to our clients. GMS will be...Ancillary Provider Agreement • December 16th, 1999 • Mediquik Services Inc • Trucking & courier services (no air) • Florida
RECITALSAncillary Provider Agreement • April 23rd, 1998 • Certified Diabetic Services Inc • Services-misc health & allied services, nec • New York
