PROVIDER CREDENTIALING

Thank you for your interest in joining the ChiroCare network. To begin the credentialing process, download a complete Credentialing Packet below.  Fill out the forms and return all completed materials to ChiroCare. 

To print the individual forms that make up the credentialing packet you can click on the form name to download that specific document.

 

Full Credentialing Packet (Contains all documents listed individually below)

 

Individual Credentialing Documents:

ChiroCare requires their network physicians to list ChiroCare on their Certificate of Insurance. For new providers, this requirement must be met when they join the ChiroCare network while previously contracted providers are required to do this during re-credentialing. To help you complete this step in the credentialing or re-credentialing process, we have designed the following form for your use.

 

Request to Add Certificate Holder Form

Please complete the form and fax it to your malpractice insurance holder.

 

**A certificate of insurance is a document that verifies the existence of insurance.

 

If you should have any questions, please contact ChiroCare at 1-888-638-7719 or e-mail us at .

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