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Join Our Network

Individually-Contracted Clinicians

CAQH Participation is required in the majority of the states to join our network. If your state requires it, you will be required to enter your CAQH ID # on the credentialing application. To participate in CAQH, please contact: www.CAQH.org

Improve the Speed of Processing - Tips for Applying to the Network

We recently conducted an audit of credentialing application issues. Here's an at-a-glance view of the most common issues that will slow down or lead to the cancellation of  the credentialing of your application to join our network.

CategoryIssues
Requirement
CAQHInformation not currently up to date. (Examples:  Practice information, Credentialing contact, education, specialty attestation, mismatched DOB, work schedule hours)  The information on CAQH must match the information you provide on the Optum NPRF form.
Attached
Documents
  • Attaching the wrong document
  • Not signing the W-9 form or providing an incorrect Tax ID number or EIN
  • Current Professional Liability Insurance Certificate
Providing all the correct and completed documents is required.
Document
Return

Slow response time to requested information.

  • Individual Contracts
  • Disclosure of Ownership documents
Missing documents are sent out via DocuSign.  Sign and return as quickly as possible. 
Providers who are
applying to re-join
the network

If you joined the network by using this portal in the past, and then left the network and are trying to re-apply:

  1. Unable to edit the existing form
  2. Credentialing Toolbar is showing you as credentialed but when you scroll down on the form it is showing your old practice information
  1. Contact your Network Manager to have them “unlock” the existing form so that you can edit it and re-submit it.
  2. The Credentialing Toolbar will not show the correct status until the new credentialing process begins.  There may be a 15 to 30 day lag.
Continue

After clicking the Continue button you will be prompted to register or login to Provider Express. Once you are logged in to Provider Express, please use the Join Our Network feature in the menu to proceed to the credentialing application.