BILLING AGENT AGREEMENT (Medicare/Medicaid) This Agreement is made as of the 11th day of March, 1998 (the "Effective Date") by and between MEDI-CEN MANAGEMENT, INC., a Maryland corporation having its principal place of business at 5530 Wisconsin...Billing Agent Agreement • March 16th, 1998 • Medi Cen Management Inc
• Billing Agent AgreementBilling Agent Agreement • July 9th, 2023
All Providers that use a billing agent or clearing house must print and sign the Billing Agent Agreement. Only original signatures will be accepted. Copied or stamped signatures are not acceptable.
AMENDED AND RESTATED BILLING AGENT AGREEMENTBilling Agent Agreement • December 7th, 2020 • Upstart Holdings, Inc. • Finance services • Illinois
This Amended and Restated BILLING AGENT AGREEMENT (the “Agreement”) is made and entered into as of 11/25/2020, (“Effective Date”), by and between TRANS UNION LLC (“TransUnion”) with its principal place of business at 555 West Adams, Chicago, Illinois 60661, and Upstart Network, Inc. (“BILLING AGENT”) with its principal place of business at 2950 South Delaware Avenue #300, San Mateo, CA 94403.
BILLING AGENT AGREEMENTBilling Agent Agreement • November 29th, 2001 • Illinois
THIS BILLING AGREEMENT (“Agreement”) is entered into this day of , (“Effective Date”) by and between Ill inois Power Company (“IP”) and , a(n) corporation, with business offices at , (“Billing Agent”). IP and BILLING AGENT shall be referred to individually as “Party” and collectively as “the Parties”.
• Billing Agent AgreementBilling Agent Agreement • September 21st, 2015
• If you have been approved, you MUST contact Office Ally at (360) 975-7000 Option 1 and inform them of the approval BEFORE submitting any claims electronically.
Billing Agent AgreementBilling Agent Agreement • October 30th, 2017
All Providers that use a billing agent or clearing house must print and sign the Billing Agent Agreement. Only original signatures will be accepted. Copied or stamped signatures are not acceptable.
