INSURER AMENDMENT AND ADDENDUM TO: PARTICIPATING PHYSICIAN AGREEMENTParticipating Physician Agreement • February 7th, 2018
THIS AMENDMENT AND ADDENDUM (“Addendum”) is entered into by Crescent Health Solutions, Inc. a North Carolina non-profit corporation, (hereinafter referred to as “Crescent”), and the Crescent Provider identified on the signature page (hereinafter referred to as “In-Plan Provider”).
• Kids First Participating Physician AgreementParticipating Physician Agreement • May 16th, 2005 • Georgia
Attached is the new membership application packet for Kids First Pediatric Alliance. The following items need to be completed and returned to us first via fax (770-333-1725) and ultimately via U.S. mail (original documents required):
RE: Participating Physician Agreement Amendment 2016 Standards of ParticipationParticipating Physician Agreement • January 20th, 2016
Optimum Physician Alliance (OPA), LLC is committed to improving operational efficiencies and reducing administrative overhead for our providers and staff. Therefore, OPA is updating its Participating Physician Agreement to streamline the notification and renewal processes.
PPOParticipating Physician Agreement • May 5th, 2020
Thank you for your interest in Health Choice, a Preferred Provider Organization (PPO). Our network consists of approximately 50,000 covered lives and 2,000 employer groups within the state of Alabama. We have developed relationships with some of the nation’s top payor groups and TPAs such as Aetna, American Healthcare Alliance, and Corporate Benefit Services of America.
CRESCENT HEALTH SOLUTIONS, INC. PARTICIPATING PHYSICIAN AGREEMENTParticipating Physician Agreement • November 28th, 2017 • North Carolina
THIS AGREEMENT is entered into by and among Crescent Health Solutions, Inc. a North Carolina non-profit corporation, (herein referred to as “Crescent”) and the physician whose signature appears or is deemed to appear hereon (hereafter referred to as “Physician”).
