PARTICIPATING PROVIDER AGREEMENT (1354)Participating Provider Agreement • November 12th, 2015
Contract Type FiledNovember 12th, 2015Provider agrees to render professional medical services, as defined in Provider Application and is incorporated into this Agreement between PPNI and the undersigned Provider, to PREMIER PROVIDER NETWORK, INC. (PPNI) Members (“Patients”) with the same level of care and services given to private patients and at the rates agreed to in the Provider Fee Schedule. Provider understands that neither PPNI nor its affiliates are claims paying agents (Payors) and that the Patient is responsible for payment of the rates as agreed to in the Provider Fee Schedule at time of service.