Health Care Service Ancillary Agreement Sample Contracts

HEALTH CARE SERVICE ANCILLARY AGREEMENT
Health Care Service Ancillary Agreement • November 14th, 2022

THIS Agreement is made by and between , (hereinafter referred to as “Facility”), a provider of health care services or items, licensed to practice or administer such services or items in the state or states where such services or items are provided, and USA MANAGED CARE ORGANIZATION, INC. A TEXAS CORPORATION, (hereinafter referred to as "USA").

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HEALTH CARE SERVICE ANCILLARY AGREEMENT
Health Care Service Ancillary Agreement • September 15th, 2020

provider of health care services or items, licensed to practice or administer such services or items in the state or states where such services or items are provided, and USA MANAGED CARE ORGANIZATION, fNC. A TEXAS CORPORATION, (hereinafter referred to as "USA").

HEALTH CARE SERVICE ANCILLARY AGREEMENT
Health Care Service Ancillary Agreement • March 27th, 2009

THIS Agreement is made by and between , (hereinafter referred to as “Facility”), a provider of health care services or items, licensed to practice or administer such services or items in the state or states where such services or items are provided, and USA MANAGED CARE ORGANIZATION, INC. A TEXAS CORPORATION, (hereinafter referred to as "USA").

HEALTH CARE SERVICE ANCILLARY AGREEMENT
Health Care Service Ancillary Agreement • April 28th, 2004

WHEREAS, USA is a Preferred Provider Organization (PPO) engaged in the business of administrating quality health care services at an affordable price through its products {USA H & W Network, a group health and wellness program, USA Workers’ Injury Network (USA WIN), USA Medicare Select, HMO} and Facility desires to provide services for the members (hereinafter referred to as “INSUREDS”) of various group accident/health plans, work related injury/illness plans, motorist medical plans, Medicare Select plans, Health Maintenance Organization plans, and self-insured employers, which have entered into agreements with USA, (hereinafter referred to collectively as "INSURERS"); and

HEALTH CARE SERVICE ANCILLARY AGREEMENT
Health Care Service Ancillary Agreement • May 2nd, 2024

THIS Agreement is made by and between , (hereinafter referred to as “Facility”), a provider of health care services or items, licensed to practice or administer such services or items in the state or states where such services or items are provided, and USA MANAGED CARE ORGANIZATION, INC. A TEXAS CORPORATION, (hereinafter referred to as "USA").

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