PARTICIPATING PRACTITIONER AGREEMENTParticipating Practitioner Agreement • March 3rd, 2021
I, , (“PRACTITIONER”), hereby tender this Certificate of Participation in Healthways WholeHealth Networks, Inc (HWHN) upon the terms and conditions set forth in the attached HWHN Participating Practitioner Agreement and to serve as a Participating Provider for the Group benefit plans contracted on my behalf by HWHN. I hereby agree to the Terms and Conditions of this Agreement. I hereby agree to extend a % (minimum of 10%) discount from my published fee schedule to all HWHN Affinity Program Participants (see page two for definition of Affinity Program). If the above area is left blank, HWHN, Inc. will assume and Practitioner agrees a 20% discount will be extended to all Affinity Program members.
PARTICIPATING PRACTITIONER AGREEMENTParticipating Practitioner Agreement • October 1st, 2012
I, , (“PRACTITIONER”), hereby tender this Certificate of Participation in Healthways WholeHealth Networks, Inc (HWHN) upon the terms and conditions set forth in the attached HWHN Participating Practitioner Agreement and to serve as a Participating Provider for the Group benefit plans contracted on my behalf by HWHN. I hereby agree to the Terms and Conditions of this Agreement. I hereby agree to extend a % (minimum of 10%) discount from my published fee schedule to all HWHN Affinity Program Participants (see page two for definition of Affinity Program). If the above area is left blank, HWHN, Inc. will assume and Practitioner agrees a 20% discount will be extended to all Affinity Program members.
PARTICIPATING PRACTITIONER AGREEMENTParticipating Practitioner Agreement • August 29th, 2011
I, , (“PRACTITIONER”), hereby tender this Certificate of Participation in Healthways WholeHealth Networks, Inc (HWHN) upon the terms and conditions set forth in the attached HWHN Participating Practitioner Agreement and to serve as a Participating Provider for the Group benefit plans contracted on my behalf by HWHN. I hereby agree to the Terms and Conditions of this Agreement. I hereby agree to extend a % (minimum of 10%) discount from my published fee schedule to all HWHN Affinity Program Participants (see page two for definition of Affinity Program). If the above area is left blank, HWHN, Inc. will assume and Practitioner agrees a 20% discount will be extended to all Affinity Program members.
