Network Participation Agreement Sample Contracts

Contract
Network Participation Agreement • April 8th, 2022
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NETWORK PARTICIPATION AGREEMENT
Network Participation Agreement • October 24th, 2012 • Louisiana

THIS NETWORK PARTICIPATION AGREEMENT (“Agreement”) is entered into on the date(s) indicated below, by and between the undersigned physician (hereinafter “Physician”; and for purposes of this Agreement “Physician” shall be deemed to apply to any individual Physician as well as the entity or group which employs or otherwise contracts with Physician for the provision of health services) and Gulf South Quality Network, L.L.C. (“GSQN”).

Network Participation Agreement
Network Participation Agreement • December 9th, 2013

As providers in the Network, pharmacists will provide Medication Therapy Management (MTM) services to a selected group of patients. MTM services are focused on improving medication therapy outcomes through use of patient specific medication therapy plans and pharmacist to patient education and coaching activities. Patients voluntarily enroll and request these services.

Clinical Integration Organization NETWORK PARTICIPATION AGREEMENT
Network Participation Agreement • September 23rd, 2014 • Idaho

This Network Participation Agreement (“Agreement”) is by and between Portneuf Quality Alliance (“PQA”) and (insert name of INDIVIDUAL PHYSICIAN, or if GROUP PRACTICE, insert the legal name of the Group Practice). If this Agreement is with an individual Physician, the term “Physician Practice” shall refer to the physician. If this Agreement is with a physician Group Practice, the term “Physician Practice” shall refer collectively to the Group Practice and each of its physicians who have signed Exhibit A of this Agreement.

Network Participation Agreement
Network Participation Agreement • June 26th, 2013

This Network Participation Agreement (this “Agreement”) sets forth the terms and conditions pursuant to which the subject school (the “School”) is entitled to participate in the Educational Network (the “Network”) of Channel One, LLC (“Channel One”). The term of this Agreement shall be a period of three full school years, plus the partial school year in which installation occurs, (the “Initial Term”), subject to the extension (the “Renewal Term”) as hereinafter set forth. Channel One reserves the right to modify the terms and conditions of this Agreement at any time and without prior notice. By continuing to make use of the Network, the School agrees in advance to the current and future terms and conditions. This Agreement will be made available online at www.channelone.com.

PRIVATE LABEL REPACKAGING NETWORK PARTICIPATION AGREEMENT
Network Participation Agreement • March 12th, 2021 • California

THIS THIRD PARTY NETWORK PARTICIPATION AGREEMENT (this "Agreement") is dated as of , 20 ("Effective Date") by and between 5mRx, LLC ("NETWORK") and

Humana Extends Network Participation to University General Hospital
Network Participation Agreement • May 27th, 2014 • University General Health System, Inc. • Services-hospitals

Contract Gives Humana Members in Houston Access to University General Hospital's Doctors and Inpatient, Outpatient and Emergency Services

BCBSNM Agreement - Network Participation Request Form
Network Participation Agreement • August 11th, 2010

Note: Before you complete the BCBSNM Agreement Network Participation Online Request Form below, you must have obtained a BCBSNM Provider Record ID. * Indicates a required field, if applicable The agreement is written for all lines of business. Please indicate in Exhibit II of the agreement if you must exclude a line of business. This includes HMO, PPO, PAR, POS, and FEP. Are you applying as a: Yes No - Primary Care PhysicianYes No - Specialty Care Physician/other Professional Provider Yes No - Primary Care/Specialty Care Physician/otherProfessional Provider *Practicing Specialty: *Please select the category or categories that best describe(s)your practice:See page 2 for categorydescriptions Solo PhysicianSolo Health Care Professional Medical GroupHealth Care Professional Group Hospital or Facility Based Provider(s) *Provider Name: *TAX ID #: *Type 1 NPI Number Group Name: Type 2 NPI Number Is provider indicated above being added to an existing Group Contract/Agreement?

Non-Physician Provider NETWORK PARTICIPATION AGREEMENT
Network Participation Agreement • September 23rd, 2014 • Idaho

This Network Participation Agreement (“Agreement”) is by and between Portneuf Quality Alliance (“PQA”) and (insert name of PROVIDER, or if GROUP PRACTICE, insert the legal name of the Group Practice). If this Agreement is with a Provider, the term “Provider Practice” shall refer to the Provider. If this Agreement is with a Provider Group Practice, the term “Provider Practice” shall refer collectively to the Group Practice and each of its providers who have signed Exhibit A of this Agreement.

AMPLIFON NETWORK PARTICIPATION AGREEMENT
Network Participation Agreement • August 16th, 2018

This Network Participation Agreement (“Agreement”) is entered into on , (“Effective Date”) by and between , (“Participant”) and Amplifon Hearing Health Care, Corp., (“Amplifon”), referred to herein individually as “Party” and collectively as the “Parties”.

NORTH CAROLINA STATE HEALTH PLAN NETWORK PARTICIPATION AGREEMENT
Network Participation Agreement • May 24th, 2021 • North Carolina

AGREEMENT (the “Agreement”) is between Blue Cross and Blue Shield of North Carolina (herein referred to as “we” “us” and “our”), an independent licensee of the Blue Cross and Blue Shield Association, and the undersigned provider of health services as identified on Page 28 of this Agreement (herein referred to as “you” and “your”) (the parties collectively referred to in this Agreement are the "parties").

May 27, 2014
Network Participation Agreement • May 27th, 2014

Contract Gives Humana Members in Houston Access to University General Hospital's Doctors and Inpatient, Outpatient and Emergency Services

NETWORK PARTICIPATION AGREEMENT AMONG
Network Participation Agreement • March 23rd, 2016 • New York

THIS NETWORK PARTICIPATION AGREEMENT (the “Agreement”) is made and entered into as of , 2016 by and between CNY AIM, LLC (“Network”), a New York State limited liability company, and each physician or medical group executing a Network Participation Agreement on behalf of participating physicians and listed on Exhibit A hereto (each, a “Participating Member” and collectively, the “Participating Members”). Together, Network and Participating Members are the “Parties,” and each is a “Party.”

NETWORK PARTICIPATION AGREEMENT
Network Participation Agreement • January 31st, 2018

This is your program distribution agreement. It makes your show available to 5500 radio stations on their XDS Digital Satellite receivers. This agreement does not guarantee that other stations will automatically broadcast your program. Instead, it guarantees satellite delivery of your show to thousands of stations that may choose to broadcast it.

AMPLIFON NETWORK PARTICIPATION AGREEMENT
Network Participation Agreement • January 8th, 2019

This Network Participation Agreement (“Agreement”) is entered into on , (“Effective Date”) by and between , (“Participant”) and Amplifon Hearing Health Care, Corp., (“Amplifon”), referred to herein individually as “Party” and collectively, the “Parties”.

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Network Participation Agreement • May 14th, 2013

RE: Inspira Medical Center Vineland and Inspira Medical Center Elmer (formerly known as SJH Regional Medical Center and SJH Elmer Hospital) reach agreement and will participate with the Oxford network

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