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Practitioner & Facility Credentialing

The Credentialing & ReCredentialing process for practitioners has been simplified to a single page application, and to a single online form for Facility & Ancillary providers. These documents allow you to provide the information and supporting documentation required for ProviDRs Care to complete the credentialing process, which includes primary source verification and demographic information from CAQH.

Provided below are resources that allow you to verify network status, review the credentialing guidelines or select the appropriate solution based on your provider type.

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Verify Network Status

Current network status for Physicians, Facility & Ancillary Providers can be easily found by searching our Find A Doctor directory using “PCN” as the group number.

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Provider Change Form

If you verified the practitioner network status as active in our directory but need to add or modify the practice demographics, credentialing is not needed. Simply complete the Provider Change form here.

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Facility / Ancillary Application

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Pathology, ER, Anesthesia, Radiology, Hospitalists & Lab Providers

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Physician Application

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APRN Application

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Physician Assistant Application

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All other Providers Application

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Physician Continuity of Care Form

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Credentialing Program Description

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Credentialing Facility Criteria

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Credentialing Practitioner Criteria

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Credentialing Policies and Procedures

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Medical Supplier (DME)

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