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Get and Sign Comanagement Contract Siepser Laser Eyecare 2009-2022 Form

Get and Sign Comanagement Contract Siepser Laser Eyecare 2009-2022 Form

Use a Comanagement Contract Siepser Laser Eyecare 2009 template to make your document workflow more streamlined.

Executing this Agreement on the space provided below and return it directly to Siepser Laser Eyecare 860 East Swedesford Road Wayne PA 19087 SIEPSER LASER EYECARE 860 E. Swedesford Rd. YOUR NAME shall separately bill and collect from both programs for their respective services utilizing appropriate modifiers to reflect the portion of care for which we are respectively responsible. Determination of the compensation hereunder is based solely on the reasonable fair market value of such items and...
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