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Durable Medical Equipment/ Prosthetic and …

Durable Medical equipment / Prosthetic and Orthotic SupplierProvider Participation AgreementRevised: January 2012 1 BLUE CROSS BLUE SHIELD OF MICHIGAN Durable Medical equipment , Prosthetic AND ORTHOTIC SUPPLIERS (DME/P&O) PARTICIPATION AGREEMENT This Agreement by and between Blue Cross and Blue Shield of Michigan (BCBSM), a nonprofit health care corporation, and the undersigned Durable Medical equipment , Prosthetic and Orthotic supplier (Provider) that is duly certified or licensed under applicable federal or state law to conduct business. Pursuant to this Agreement, BCBSM and Provider agree as follows: ARTICLE 1 DEFINITIONS For purposes of this Agreement, defined terms are: "Agreement" means this written Agreement between BCBSM and Provider which designates Provider as eligible to provide Covered Services and incorporates by reference any Provider Manuals, and other BCBSM written or web-based manuals.

Durable Medical Equipment/ Prosthetic and Orthotic Supplier Provider Participation Agreement

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  Medical, Supplier, Equipment, Durable, Prosthetic, Durable medical equipment prosthetic and

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