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Member Access Agreement.pdf

FDC_PatientAgreement_033022.pdf
Preview of Member Access Agreement
🔗 Source: frontierdirectcare.com
📊 Size: 141 KB
📄 Pages: 10 pages
⬇️ Downloads: 142

Summary

Frontier Health Access, LLC, provides medical services to members through its physician, in exchange for fees paid by the member. The agreement outlines terms, including a one-month term that automatically renews, fees payable upon execution, and non-participation in insurance plans. Members are responsible for determining insurance coverage and are advised to obtain separate health insurance. The agreement can be terminated by either party with 30 days' notice, and members can cancel after a three-month commitment period. Unacceptable behavior, such as harassment or obscene language, can result in termination without refund. Members are responsible for paying outstanding balances upon cancellation, and communications with the physician may become part of medical records.

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Description

Frontier Health Access, LLC, provides medical services to members through its physician, in exchange for fees paid by the member.

Technical Information

  • File Format: PDF
  • File Size: 141 KB
  • Pages: 10
  • Language: EN
  • Total Downloads: 142
  • Last Updated: 1 month ago

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