WCH Credentialing Agreement
AGREEMENT made this ___ day of __________, by and between WCH SERVICE BUREAU, INC., having a place of business at 3047 Avenue U, Brooklyn, NY 11229, hereinafter referred to as “WCH”, and ____________________, having a place of business at ____________________, hereinafter referred to as the “Client”, WCH and the Client sometimes hereinafter collectively referred to as the “Parties”, as follows:
W I T N E S S E T H:
WHEREAS, WCH provides services to the Client in connection with
obtaining credentials for the Client with insurance carriers, state and federal
WHEREAS, WCH has substantial experience and expertise in this field; and
WHEREAS, WCH is prepared to service said Client on the terms and conditions hereinafter set forth; and
WHEREAS, the Client is desirous of having WCH perform the services as hereinbefore agreed; and
WHEREAS, the Parties are desirous of reducing their mutual understandings and agreements to writing.
NOW, THEREFORE, it is mutually covenanted and agreed as follows:
1. The Client agrees that it will cooperate with WCH in scheduling meetings to obtain all of the information and prepare all of the documents necessary to submit to the insurance carrier, state and federal agencies for the purpose of performing the services specified in Schedule A (Detailed Request for
Information is presented for informational purposes.
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