Determine your eligibility for contracting
Confirm your clinic or organization is eligible for contracting and meets applicable credentialing standards and network participation guidelines.
Group NPI or EIN
You must have a group NPI or EIN and credentialed individual providers with an active license to link to the clinic or organization at the time of the application.
Review network participation guidelines
Practitioners requesting participation in our networks must agree to the network policies, procedures, terms and conditions and meet credentialing standards.
Complete the required forms
Complete the organization request for application (RFA-Organization). A network operations team member will reach out for additional information. You will need to complete our EFT form (provided to you after your RFA is accepted), provide a bank letter and W-9.
Individual providers
If your clinic or organization will be affiliated with individual providers, each provider must also complete the individual provider application process.

