Medicare Advantage Ppo Provider Agreement Sample Contracts

MEDICARE ADVANTAGE PPO PROVIDER AGREEMENT PRACTITIONER ATTACHMENT

Medicare Advantage Ppo Provider Agreement • December 25th, 2022

• Contract Type
  Medicare Advantage Ppo Provider Agreement
• Filed
  December 25th, 2022

This Blue Cross Blue Shield of Michigan Medicare Advantage PPO Practitioner Attachment (“Attachment”) is entered into by Blue Cross Blue Shield of Michigan (“BCBSM”) and the undersigned Practitioner (“Practitioner”), and is attached to and made a part of the BCBSM Medicare Advantage PPO Provider Agreement (“Agreement”) entered into by the parties hereto.

MEDICARE ADVANTAGE PPO PROVIDER AGREEMENT FEDERALLY QUALIFIED HEALTH CENTER

Medicare Advantage Ppo Provider Agreement • October 31st, 2020

• Contract Type
  Medicare Advantage Ppo Provider Agreement
• Filed
  October 31st, 2020

This Blue Cross Blue Shield of Michigan Medicare Advantage PPO Federally Qualified Health Center Facility Attachment (“Attachment”) is entered into by Blue Cross Blue Shield of Michigan (“BCBSM”) and the clinic (“Provider”) listed on the Signature Document.

PPO PROVIDER AGREEMENT

Medicare Advantage Ppo Provider Agreement • August 24th, 2022 • Michigan

• Contract Type
  Medicare Advantage Ppo Provider Agreement
• Filed
  August 24th, 2022
• Jurisdiction
  Michigan

This Medicare Advantage (“MA”) PPO Provider Agreement (“Agreement”) is entered into by Blue Cross Blue Shield of Michigan, a Michigan nonprofit healthcare corporation (“BCBSM”) and the undersigned Provider who is fully licensed or legally authorized to practice in the state of Michigan (“Provider”).

MEDICARE ADVANTAGE PPO PROVIDER AGREEMENT NON-HOSPITAL FACILITY ATTACHMENT

Medicare Advantage Ppo Provider Agreement • February 3rd, 2022

• Contract Type
  Medicare Advantage Ppo Provider Agreement
• Filed
  February 3rd, 2022

This Blue Cross Blue Shield of Michigan Medicare Advantage PPO Non-Hospital Facility Attachment (“Attachment”) is entered into by Blue Cross Blue Shield of Michigan (“BCBSM”) and the facility (“Provider”) listed on the Signature Document.

MEDICARE ADVANTAGE PPO PROVIDER AGREEMENT RURAL HEALTH CLINIC ATTACHMENT

Medicare Advantage Ppo Provider Agreement • September 10th, 2021

• Contract Type
  Medicare Advantage Ppo Provider Agreement
• Filed
  September 10th, 2021

This Blue Cross Blue Shield of Michigan Medicare Advantage PPO Rural Health Clinic Attachment (“Attachment”) is entered into by Blue Cross Blue Shield of Michigan (“BCBSM”) and the clinic (“Provider”) listed on the Signature Document.

MEDICARE ADVANTAGE PPO PROVIDER AGREEMENT NON-HOSPITAL HOSPICE FACILITY ATTACHMENT

Medicare Advantage Ppo Provider Agreement • November 2nd, 2018

• Contract Type
  Medicare Advantage Ppo Provider Agreement
• Filed
  November 2nd, 2018

This Blue Cross Blue Shield of Michigan Medicare Advantage PPO Non-Hospital Hospice Facility Attachment (“Attachment”) is entered into by Blue Cross Blue Shield of Michigan (“BCBSM”) and the facility (“Provider”) listed on the Signature Document.