Ancillary Participation Agreement Sample Contracts

HERITAGE PHYSICIAN NETWORKS ANCILLARY PARTICIPATION AGREEMENT NOTICE: THIS AGREEMENT IS SUBJECT TO BINDING ARBITRATION PURSUANT TO THE TEXAS GENERAL ARBITRATION ACT AND THE COMMERCIAL ARBITRATION RULES OF THE AMERICAN ARBITRATION ASSOCIATION
Ancillary Participation Agreement • July 27th, 2009 • Certified Diabetic Services Inc • Services-misc health & allied services, nec • Texas

THIS ANCILLARY PARTICIPATION AGREEMENT (the “Agreement”) is made and entered into as of the 1st day of March, 2004, by and between Heritage Physician Networks, a Texas non-profit corporation certified pursuant to Section 162.001 et seq. of the Texas Medical Practice Act (hereinafter referred to as “HPN”) and CDS Health Management Inc. (d/b/a Certified Diabetic Supplies) a legal entity licensed to provide health care services in the State of Texas (hereinafter referred to as “Provider”), who are collectively referred to hereinafter as “the Parties.”

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PRIMARY MEDICAL CARE, INC. ANCILLARY PARTICIPATION AGREEMENT
Ancillary Participation Agreement • July 27th, 2009 • Certified Diabetic Services Inc • Services-misc health & allied services, nec • Texas

THIS ANCILLARY PARTICIPATION AGREEMENT (the “Agreement”) is made and entered into as of the 1st day of August 2004, by and between Primary Medical Care, Inc., a Texas corporation (hereinafter referred to as “PMC”) and Certified Diabetic Supplies, a legal entity licensed to provide health care services in the State of Texas (hereinafter referred to as “Provider”), who are collectively referred to hereinafter as “the Parties.”

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