Common Contracts

Provider Agreement

Provider Agreement • January 17th, 2013

• Contract Type
  Provider Agreement
• Filed
  January 17th, 2013

THIS Provider Agreement (“Agreement”), effective this day of , 20 , by and between Avesis Third Party Administrators, Inc. (“Avesis”) and , (hereinafter referred to as Provider);

Provider Agreement

Provider Agreement • October 7th, 2011

• Contract Type
  Provider Agreement
• Filed
  October 7th, 2011

THIS Provider Agreement (“Agreement”), effective this _ day of , 20_ , by and between Avesis Third Party Administrators, Inc. (“Avesis”) and , (hereinafter referred to as Provider);