Provider Services Agreement Sample Contracts

RECITALS
Provider Services Agreement • February 10th, 2005 • Continucare Corp • Services-specialty outpatient facilities, nec • Florida
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FHS PARTICIPATING PHYSICIAN GROUP PROVIDER SERVICES AGREEMENT PROSPECT MEDICAL GROUP
Provider Services Agreement • August 27th, 2004 • Prospect Medical Holdings Inc • Services-offices & clinics of doctors of medicine • California

This Participating Physician Group Provider Services Agreement (“Agreement”) is made and entered into by and between the Foundation Health Systems Affiliate(s) (“FHS”) identified in Addendum A to this Agreement and Prospect Medical Group. Inc., a Participating Physician Group (“PPG”), to be effective January 1, 1998.

MOLINA HEALTHCARE OF CALIFORNIA CAPITATED MEDICAL GROUP / IPA PROVIDER SERVICES AGREEMENT
Provider Services Agreement • February 26th, 2016 • Molina Healthcare Inc • Hospital & medical service plans • California

This Capitated Medical Group / IPA‌‌ (“Agreement”) is entered by and between Molina Healthcare of California‌‌, a California corporation (“Health Plan”), and Pacific Healthcare IPA (“Provider”).

Contract
Provider Services Agreement • May 5th, 2020

PROVIDER SERVICES AGREEMENT SMLOUVA S POSKYTOVATELEM RADIOLOGICKÝCH SLUŽEB STUDY NAME: NÁZEV STUDIE: PROTOCOL NUMBER: ČÍSLO PROTOKOLU: THIS AGREEMENT, effective as of 2018 (“Effective Date”) is made by and between inVentiv Health Clinical UK Ltd whose registered office is at Thames House, 17-19 Marlow Road, Maidenhead, Berkshire, SL6 7AA, United Kingdom together with any subsidiary (together “CRO”) and Oblastní nemocnice Příbram, a.s. ("Provider") having a place of business at Gen. R. Tesaříka 80, 261 01 Příbram I, Czech RepublicPlace of performance: Oblastní nemocnice Příbram, a.s., Areál II, Podbrdská 269, 261 95, Příbram V, Czech Republic. and ("Radiologist") with permanentaddress at , CzechRepublic. TATO SMLOUVA, účinná ke dni 2018 (dále jako „datum účinnosti“), se uzavírá mezi společností inVentiv Health Clinical UK Ltd, jejíž sídlo je registrované na adrese Thames House, 17-19 Marlow Road, Maidenhead, Berkshire, SL6 7AA, Velká Británie společně se všemi poboč

AMENDMENT to the PROVIDER SERVICES AGREEMENT between FOUNDATION HEALTH SYSTEMS AFFILIATES And PROSPECT MEDICAL GROUP
Provider Services Agreement • May 28th, 2004 • Prospect Medical Holdings Inc • Services-offices & clinics of doctors of medicine

The Provider Services Agreement (“Agreement”), dated January 1, 1998, between Prospect Medical Group (“PPG”) and Foundation Health Systems Affiliate(s) (“FHS”) subsequently amended July 1, 2000, and subsequently amended February 19, 2001, is hereby amended effective October 1, 2001.

PROVIDER SERVICES AGREEMENT
Provider Services Agreement • May 29th, 2020 • North Carolina

Sitehands, Inc., a Delaware corporation located at 615 South College St, Suite 700, Charlotte, NC 28202 (“Company”) helps customers successfully manage start-to-finish outcomes through technology field services. Company engages a network of professional service providers to help provide these services. If Provider has executed Company’s online Nondisclosure Agreement and has been presented by Sitehands with this Provider Services Agreement (“PSA” or “Agreement”) including Exhibits A and B, then Provider is an authorized Company independent contractor authorized to perform certain services in accordance with the terms of the Nondisclosure Agreement, this Agreement and each Statement of Work (defined below) (“Provider”).

PROVIDER SERVICES AGREEMENT
Provider Services Agreement • June 18th, 2015

This Provider Services Agreement (“Agreement”) is made and entered into between Managed Care Health Plan, Inc. (“Plan”) and (“Provider”), (together referred to as the “Parties”).

Provider Services Agreement
Provider Services Agreement • May 7th, 2013 • New Mexico

This Provider Services Agreement (the “Agreement”) is made and entered into effective by the parties as set forth below. This Agreement includes the following attached hereto and incorporated herein:

AMENDMENT to the PROVIDER SERVICES AGREEMENT between HEALTH NET, INC. AFFILIATES and Professional Care Medical Group IPA
Provider Services Agreement • May 27th, 2004 • Prospect Medical Holdings Inc • Services-offices & clinics of doctors of medicine

The Provider Services Agreement (“Agreement”), dated March 1, 1999, between Professional Care Medical Group, IPA (“PPG”) and Health Net, Inc. Affiliates (“HNI”), as subsequently amended, is hereby amended effective January 1, 2004 as follows:

REGULATORY AMENDMENT FOR THE CAPITATED FINANCIAL ALIGNMENT DEMONSTRATION PRODUCT TO MOLINA HEAL TH CARE OF CALIFORNIA GROUP/IPA PROVIDER SERVICES AGREEMENT(S)
Provider Services Agreement • February 26th, 2016 • Molina Healthcare Inc • Hospital & medical service plans

This Regulatory Amendment for the Capitated Financial Alignment Demonstration Product to the Group/IPA Provider Services Agreement(s}, or other health care service contract applicable to Provider (the "Amendment") is made and entered into by and between Molina Healthcare of California ("Health Plan") and Pacific Healthcare IPA Associates, Inc. ("Provider").

Contract
Provider Services Agreement • May 28th, 2004 • Prospect Medical Holdings Inc • Services-offices & clinics of doctors of medicine

Amendment to the Participating Physician Group Provider Services Agreement between Foundation Health Systems Affiliates and StarCare Medical Group dba Gateway Medical Group, effective October 10, 2000

PROVIDER SERVICES AGREEMENT
Provider Services Agreement • December 5th, 2017 • California

THIS PROVIDER SERVICES AGREEMENT (this “Agreement”) is entered into by and between MARCH VISION CARE GROUP, INCORPORATED, a California corporation

SIGNATURE PAGE
Provider Services Agreement • January 18th, 2023 • Nebraska

In consideration of the promises and representations stated, the Parties agree as set forth in this Agreement. The Authorized Representative acknowledges, warrants, and represents that the Authorized Representative has the authority and authorization to act on behalf of its Party. The Authorized Representative further acknowledges and represents that he/she received and reviewed this Agreement in its entirety.

AMENDMENT to the PROVIDER SERVICES AGREEMENT between HEALTH NET INC., AFFILIATES and STARCARE MEDICAL GROUP DBA GATEWAY MEDICAL GROUP
Provider Services Agreement • May 28th, 2004 • Prospect Medical Holdings Inc • Services-offices & clinics of doctors of medicine

The Provider Services Agreement (“Agreement”), effective March 1, 1999, between StarCare Medical Group, dba Gateway Medical Group, (“PPG”) and Health Net Inc., Affiliates (“HNI”), subsequently amended July 1, 2000, and October 10, 2000, is hereby amended effective February 1, 2002.

PROVIDER SERVICES AGREEMENT - MEDICARE ADVANTAGE
Provider Services Agreement • July 14th, 2021 • Tennessee

GOLDEN TIMES INSURANCE CO., a Delaware corporation and its affiliate ATRIO Health Plans, Inc. collectively known herein as (“GOLDEN TIMES”)

AMENDMENT to the PROVIDER SERVICES AGREEMENT between FOUNDATION HEALTH SYSTEMS AFFILIATES and STARCARE MEDICAL GROUP DBA GATEWAY MEDICAL GROUP
Provider Services Agreement • May 28th, 2004 • Prospect Medical Holdings Inc • Services-offices & clinics of doctors of medicine

The Provider Services Agreement (“Agreement”), effective March 1, 1999, between StarCare Medical Group dba Gateway Medical Group (“PPG”) and Foundation Health Systems Affiliate(s) (“FHS”) is hereby amended effective July 1, 2000.

AMENDMENT to the PROVIDER SERVICES AGREEMENT between HEALTH NET, INC. AFFILIATES And PROSPECT MEDICAL GROUP
Provider Services Agreement • May 28th, 2004 • Prospect Medical Holdings Inc • Services-offices & clinics of doctors of medicine

The Provider Services Agreement (“Agreement”), dated January 1, 1998, between Prospect Medical Group (“PPG”) and Health Net, Inc. Affiliates (“HNI”) subsequently amended July 1, 2000, February 19, 2001, and October 1, 2001 is hereby amended effective April, 1 2003.

PROVIDER SERVICES AGREEMENT
Provider Services Agreement • December 6th, 2023

This Provider Services Agreement (the "Agreement") is dated as of _ , 2023 (the "Effective Date"), and is made by and between Safr Technologies, Inc., with its principal office at

AMENDMENT to the PROVIDER SERVICES AGREEMENT between FOUNDATION HEALTH SYSTEMS AFFILIATES and PROSPECT MEDICAL GROUP
Provider Services Agreement • May 28th, 2004 • Prospect Medical Holdings Inc • Services-offices & clinics of doctors of medicine

The Provider Services Agreement (“Agreement”), dated January 1, 1998, between Prospect Medical Group (“PPG”) and Foundation Health Systems Affiliate(s) (“FHS”) is hereby amended effective July 1, 2000.

AMENDMENT to the PROVIDER SERVICES AGREEMENT between HEALTH NET, INC. AFFILIATES and A.V. MEDICAL GROUP
Provider Services Agreement • May 28th, 2004 • Prospect Medical Holdings Inc • Services-offices & clinics of doctors of medicine

The Participating Physician Group Provider Services Agreement dated June 1, 1998 between A.V. Medical Group (“PPG”) and Health Net, Inc. Affiliates (“HNI”), as subsequently amended by instruments dated July 1, 1999, November 1, 2000, the amendment executed on February 28, 2001 and January 1, 2003 (hereinafter the “Agreement”) is hereby amended effective March 1, 2003.

CAPITATED FINANCIAL ALIGNMENT DEMONSTRATION AMENDMENT TO MOLINA HEALTHCARE OF CALIFORNIA
Provider Services Agreement • February 26th, 2016 • Molina Healthcare Inc • Hospital & medical service plans

This Capitated Financial Alignment Demonstration Amendment to the Group/IPA Provider Services Agreement (the “Amendment”) is made and entered into by and between Molina Healthcare of California (“Health Plan”) and Pacific Healthcare IPA Associates, Inc. (“Provider”).

Provider Services Agreement
Provider Services Agreement • March 5th, 2021

This provider services agreement (“Agreement”) specifies the terms and conditions under which you, the undersigned patient (“Patient”), may secure specific private direct program services (“Program Services” as further defined below) from your provider (“Provider”), the Program Services provider. Your Provider receives administrative, business, educational and marketing services (“Cypress Affiliation Services”) provided by Cypress LLC (“Cypress”), but Cypress does not provide or control how Program Services are provided by your Provider. This Agreement is solely by and between you and your Provider.

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