Organizational Credentialing
All groups seeking participation in our provider network must go through the organizational credentialing process.
The following are the minimum requirements for organizational provider participation qualification:
- Current license to operate
- Appropriate licensure
- Current malpractice insurance
- Current Accreditation or a state or CMS survey
- Acceptable malpractice and sanction history Organizational providers credentialed include:
- Ambulatory Surgery Centers (free-standing only)
- Ambulette
- Ambulance Service
- Alcohol and Substance Abuse
- Audiologic Test and Dispense
- Cardiac Monitoring
- Durable Medical Equipment
- Home Infusion
- Inpatient Substance Abuse
- In-patient Mental Health
- In-patient Rehabilitation
- Lithotripsy
- Lymphedema Treatment
- Home Health Care Agencies
- Out-patient Rehab Centers
- Prosthetics or Orthotics
- Hospitals
- Skilled Nursing Facilities
- Sleep Study Centers
- Behavioral Health Centers
- Birthing Centers (free-standing)
- Hospice
- Dialysis Centers
- Urgent Care Centers
- Women’s Health
- Radiology
- Free-standing Clinics
To request group participation, email [email protected] with the following information:
- Group name
- Group specialty
- Group address
- Group NPI
- Group TIN
- Requestor’s name and contact information
If our panel is open for the group specialty, an application will be forwarded to the requestor by our network team. After receipt of the application and appropriate attachments, applicable verifications will be completed and a decision will be made by our Provider Credentialing Committee. Notification of the decision will be made accordingly.