Don’t Jeopardize Your Participating Provider Status

We are recredentialing our Provider Network and we need your help. Please update your Council for Affordable Quality Healthcare (CAQH) application and your attestation form. You also must re-attest to the accuracy of the information in your profile, including the address(es) for your practice.

Please visit to update your information, including your:

  • Current malpractice policy face sheet;
  • W-9 for each new billing location; and
  • Complete five-year work history.

Not Registered with CAQH?

You can register at

Additionally, we have partnered with CredSimple, an NCQA-certified Credentials Verification Organization, to obtain any missing information and validate the demographic information on your CAQH application, so please remember to grant us access to your profile.

New Provider?

See our Become a Provider page.