1. Name of person completing this form:
Full Name:
Title:
 
2. Provider Name (Practice Location Only):
 
3. Address:
 
4. City, State Zip:
 
5. E-mail Address for Person Completing this Form
 
6. County:
 
7. Practice Telephone: (ex. 888-343-3547)
 
8. Languages Spoken:
 
9. Primary Specialty:
 
10. Secondary Specialty:
 
11. Other locations:
 
12. Does the provider/group/facility render services in the member's home?

If "yes," go to question 12b.
 
12b. List all services rendered in the home:
 
13. Provider's Tax Identification Number:
 
14. Group Tax Identification Number (if applicable):
 
15. Legal Entity Name
 
16. How many providers are in the group? (if applicable)
Please list the first five:
1.
Name of Provider:
 
Specialty:
 
NPI:
2.
Name of Provider:
 
Specialty:
 
NPI:
3.
Name of Provider:
 
Specialty:
 
NPI:
4.
Name of Provider:
 
Specialty:
 
NPI:
5.
Name of Provider:
 
Specialty:
 
NPI:
 
17. Group NPI #:
 
18. Is this Provider part of existing par-credentialed group?

Name:
 
18. Do you participate with CAQH Credentialing?

 
19. Hospital Affiliations:
(a)  
(b)  
(c)  
 
20. Board Certified:

Degree:
 
21. As Fidelis Care has moved to a paperless environment, all providers are expected to submit and accept communications electronically. Are you willing and able to:

Submit claims electronically?

 
Accept electronic communications such as remittance advice (EOB) or member rosters?

23. If you are a PCP, are you able to accept electronic rosters from Fidelis?

 
22. How did you hear about Fidelis Care?
 
23. If you are a PCP, please advise us who you refer members to for specialty care:
(a)  
(b)  
(c)  
(d)  
(e)  
 
 
 
 
*Note: Minimum Provider Qualifications: Valid, current license; valid current DEA certificate; completion of residency training; graduation from Medical/Professional school; certification; and hospital affiliation.
 
**Note: Pathologist, Radiologist, Anesthesiologists, Neonatologists, Emergency Medicine Physicians, Hospitalists, and Behavioral Health practitioners who practice exclusively within a State licensed facility (OMH or Article 28) do not have to be individually credentialed. Practitioners within these specialities who provide services independently of these facilities shall be individually credentialed.