Common Contracts
4 similar Agreement contracts
WHICH FORM(S) SHOULD I DO?Agreement • August 29th, 2007 • Mississippi
• Agreement between Blue Cross & Blue Shield of Mississippi A Mutual Insurance Company, [Clearinghouse or Billing Agent] and [Provider]
AGREEMENT BETWEENAgreement • August 29th, 2007 • Mississippi
hereinafter referred to as “Clearinghouse or Billing Agency” and , a Provider of Healthcare Services, hereinafter referred to as the "Provider".
AGREEMENT BETWEENAgreement • August 29th, 2007 • Mississippi
hereinafter referred to as “Clearinghouse or Billing Agency” and , a Provider of Healthcare Services, hereinafter referred to as the "Provider".
If submitting claims as a group, only one agreement is required.Agreement • August 29th, 2007 • Mississippi
• Due to system or processing changes, it may be necessary for the payer to change their agreements. If this occurs during your enrollment process, you may be asked to complete an updated form.
