Ancillary Provider Affiliation Agreement Sample Contracts

ANCILLARY PROVIDER AFFILIATION AGREEMENT

Ancillary Provider Affiliation Agreement • January 30th, 2022 • Michigan

• Contract Type
  Ancillary Provider Affiliation Agreement
• Filed
  January 30th, 2022
• Jurisdiction
  Michigan

This Agreement is made between Blue Care Network of Michigan, Blue Care of Michigan, Inc. and BCN Service Company (hereinafter collectively referred to as Health Plan) and (hereinafter referred to as Provider).