We are a physician-directed health plan known for our extraordinary customer service and we’d love to have you on our team!
Licensed and adjunct practitioners who would like to join our provider network can download the applications forms in PDF format and send them to us.
Everything you need can be found on our Provider Forms page.
Before you do anything else you will need to get an online credentialing application from The Council for Affordable Quality Healthcare (CAQH). This is the required format for all initial CDPHP credentialing and recredentialing.
CAQH Universal Credentialing Datasource
Licensed practitioners include physicians, nurse practitioners, physician assistants, certified nurse midwives, chiropractors, dentists, and podiatrists. You will need the following forms:
Adjunct practitioners include audiologists, certified orthoptists, certified diabetes educators, non-physician nutritionists, optometrists, occupational therapists, physical therapists, and speech therapists. You will need the following forms:
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