AMERIHEALTH CARITAS IOWA, INC. PHYSICIAN PROVIDER AGREEMENT With [PROVIDER NAME]Physician Provider Agreement • August 31st, 2015
This Physician Provider Agreement (the “Agreement”), dated as of the Effective Date (defined below), is made by and between AmeriHealth Caritas Iowa, Inc., a corporation organized under the laws of the State of Iowa, (hereinafter referred to as (“ACIA)” and the Provider (“Provider”) identified on the signature page.