Passport Health Plan, Inc Provider Agreement Sample Contracts

PASSPORT HEALTH PLAN, INC PROVIDER AGREEMENT

Passport Health Plan, Inc Provider Agreement • January 2nd, 2020 • Kentucky

• Contract Type
  Passport Health Plan, Inc Provider Agreement
• Filed
  January 2nd, 2020
• Jurisdiction
  Kentucky

This Provider Agreement (this "Agreement") is made and entered into as of the Effective Date (as defined in Section 1 herein) by and between Passport Health Plan, Inc ("HMO"), and the person(s) or entity identified on the signature page ("Provider").