Join Us
Become Part of the CDPHP Team
We appreciate your interest in CDPHP, a physician-directed health plan widely known for our extraordinary customer service. CDPHP has expanded our product portfolio to meet the needs of area businesses. We invite you to join our growing network of providers.
Easy to use, online credentialing application from The Council for Affordable Quality Healthcare (CAQH). Required format for all initial CDPHP credentialing and recredentialing.
Licensed Practitioners
Licensed Practitioners include physicians, chiropractors, dentists, and podiatrists
All supplemental forms and information necessary to complete your application in PDF format.
- Practitioner CAQH Credentialing Application Instructions
- Practitioner Data Collection Form
- Qualification Requirements for Physicians
- Qualification Requirements for Chiropractors, Dentists, and Podiatrists
- Statement of Practitioner's Rights
- Access Standards for Primary Care Physicians and OB/GYNs
- Remittance Agent Designation
- Form W-9: Request for Taxpayer Identification Number and Certification
Each of the above forms are available in PDF format on the Provider Forms page.
Adjunct Practitioners
Adjunct Practitioners include audiologists, certified orthoptists, certified diabetes educators, non-physician nutritionists, optometrists, occupational therapists, physical therapists, and speech therapists
All supplemental forms and information necessary to complete your application in PDF format.
- Adjunct Practitioner CAQH Credentialing Application Instructions
- Practitioner Data Collection Form
- Qualification Requirements for Adjunct Practitioners
- Statement of Practitioner's Rights
- Remittance Agent Designation
- Form W-9: request for Taxpayer Identification Number and Certification
Each of the above forms are available in PDF format on the Provider Forms page.