START CONTRACTING: STEP 1 OF 3
Select your provider type
Then complete and submit the required forms.
Medical Professionals
Licensed professionals delivering direct patient care, such as physicians, therapists, and nurse practitioners.
Facility Providers
Licensed facilities providing inpatient, long-term, or behavioral health care, including hospitals and treatment centers.
Ancillary Entities
Organizations that support medical care through diagnostics, outpatient procedures, or specialized services.
Dental Professionals
Dentists, denturists, and oral appliance suppliers submitting claims using American Dental Association dental forms.
Medical Equipment and Supplies
Providers of medical equipment, prosthetics, home infusion, and pharmacy-based durable medical equipment services.