Common Contracts
1 similar Participating Provider Agreement contracts
Participating Provider AgreementParticipating Provider Agreement • May 24th, 2016
Participating Provider, by its signature on the execution page of the Highmark Inc. d/b/a Highmark Blue Shield Participating Provider Agreement to which this Cover Page is attached, hereby certifies that the information provided in the foregoing Listing of Practitioners as prepared by Highmark Inc. d/b/a Highmark Blue Shield is accurate, true and correct. Participating Provider further understands and agrees that if it and its Practitioners are accepted as Participating Providers, participation will be governed by the terms and conditions of the Highmark Inc. d/b/a Highmark Blue Shield Participating Provider Agreement attached hereto as if all are a party thereto and the accompanying Regulations to such Participating Provider Agreement.
