Use and Protection Agreement Sample Contracts

USE AND PROTECTION AGREEMENT
Use and Protection Agreement • February 1st, 2022

This Use and Protection Agreement is entered into this day of , , between Blue Cross Blue Shield of Michigan (BCBSM) a Michigan nonprofit health care corporation and independent licensee of Blue Cross and Blue Shield Association, and the undersigned User (the User).

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PROFESSIONAL / FACILITY USE AND PROTECTION AGREEMENT BLUE CROSS BLUE SHIELD OF MICHIGAN
Use and Protection Agreement • September 10th, 2021

WHEREAS, BCBSM owns and/or maintains certain computer data files containing, among other things, information regarding eligibility and benefits available to BCBSM and BCBSM Subsidiaries and Affiliates, subscribers and their eligible dependents, the status of claims for health care services rendered to those subscribers and their eligible dependents, as well as current and historical utilization information concerning any subscriber and their eligible dependents and information about rendered health care (medical/professional, facility, etc.) services that may be payable by BCBSM or BCBSM Subsidiaries or Affiliates. Through the Michigan Department of Community Health, BCBSM may also provide access to computer data files containing eligibility and benefit information pertaining to Medicaid beneficiaries and information about rendered health care services that may be payable by the State of Michigan Medicaid program.

PROFESSIONAL / FACILITY USE AND PROTECTION AGREEMENT
Use and Protection Agreement • September 17th, 2020

This Use and Protection Agreement is entered into this day of , , between Blue Cross Blue Shield of Michigan (BCBSM) a Michigan nonprofit health care corporation and independent licensee of Blue Cross and Blue Shield Association, and the undersigned User (the User).

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