Ancillary Provider Participation Agreement Sample Contracts

Ancillary Provider Participation Agreement
Ancillary Provider Participation Agreement • February 9th, 2024

This Agreement is entered into by and between UnitedHealthcare Insurance Company, contracting on behalf of itself, UnitedHealthcare of Illinois, Inc., and the other entities that are United’s Affiliates (collectively referred to as “United”) and Dekalb County Government dba Dekalb County Rehab & Nursing Center (“Facility”).

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An c i l lary Provid er Particip ation Agreemen t
Ancillary Provider Participation Agreement • August 7th, 2020

This Agreement is entered into by and between UnitedHealthcare Insurance Company, contracting on behalf of itself, AmeriChoice of New Jersey, Inc. (“UnitedHealthcare Community Plan”) and (“Ancillary Provider”).

Ancillary Provider Participation Agreement
Ancillary Provider Participation Agreement • December 19th, 2022

This Agreement is entered into by and between UnitedHealthcare Insurance Company, contracting on behalf of itself, UnitedHealthcare of Ohio, Inc., UnitedHealthcare Community Plan of Ohio, Inc. and the other entities that are United’s Affiliates (collectively referred to as “United”) and (“Facility”).

Ancillary Provider Participation Agreement
Ancillary Provider Participation Agreement • August 1st, 2020

This Agreement is entered into by and between UnitedHealthcare Insurance Company, contracting on behalf of itself, Arizona Physicians IPA, Inc., and the other entities that are United’s Affiliates (collectively referred to as “United”) and City of Tempe (“Facility”).

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