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Provider Network Participation & Enrollment Process

Enroll a New Facility

To enroll a new facility to an existing contract, please fill out the Facility Credentialing Application, and email, along with all requested attachments, to

Enroll a New Practitioner

If enrolling a new practitioner, please select if they are a PARE specialty

  • Anesthesiology (non pain management)
  • CRNA
  • Diagnostic Radiology
  • ER Physician
  • Pathology
Last Updated: 07/08/2022