Here’s how it works:
- Complete and return a Network Health Provider Information Form (MS Word doc) to us with your signed contract and the following supporting documents:
- A current, valid license
- Current and valid accreditation
- Proof of malpractice insurance
- W-9
- Our credentialing team will review your application for completeness and current valid licensure, and submit the application to our credentialing committee for review.
- After our credentialing committee reviews your application, we'll let you know our decision.
How long does it take?
In most cases, we approve applications that meet all credentialing criteria within 30 days of receipt. To ask us about the status of your application, call us at 888-257-1985. To meet regulatory and accreditation guidelines, we re-credential all of our providers at least every two years.
Your right to appeal
You have the right to appeal our credentialing decision.