WELLPOINT WASHINGTON, INC. PROVIDER AGREEMENTProvider Agreement • May 5th, 2025 • Washington
This Provider Agreement (hereinafter "Agreement") is made and entered into by and between Wellpoint Washington, Inc. (hereinafter "Wellpoint") and the undersigned Provider (hereinafter "Provider"), and shall be effective as of the date set forth immediately above Wellpoint's signature (the "Effective Date"). In consideration of the mutual promises and covenants herein contained, the sufficiency of which is acknowledged by the parties, the parties agree as follows: