Click on the link below as it pertains to your region and provider to follow the prompts via DocuSign.
Connecticut Providers:
Practice Manager completing the information on behalf of a provider, click on the link below based on their educational license:
Provider completing the information for yourself, click one the link below based on your educational license:
Practice Credentialing Manager or 3rd party support completing the information on behalf of the provider/practice, click on the link below based on their educational license:
