BCBSM Anesthesia Assistant Combined Signature (PDF) 2025

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The document is an Individual Signature Document for the BCBSM Anesthesia Assistant Combined Participation Agreement, outlining the terms and conditions for practitioners to affiliate with Blue Cross Blue Shield of Michigan. It emphasizes that affiliations become active only after successful credentialing and contract signing, and until then, practitioners are considered out of network. The document includes references to various provider agreements and requires the practitioner's signature to establish commitment.

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2016	4.8 Satisfied (108 Votes)

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