Recommend a Provider
To recommend a provider to participate in a contracting provider network:
- Check that the provider is not already in Provider Finder® (or ask the provider about their network status).
- Complete the form below, an asterisk includes a required field.
Other considerations:
- It may take about 90 to 120 days for the provider to be accepted into a network.
- Providers must meet established credentialing requirements.
- Providers must agree to all contract provisions, policies and procedures.
- Your recommendation does not guarantee that the provider will be accepted into the network.
An asterisk (*) indicates a required field.
