The first step in the credentialing process is to complete a request form.
Send the completed request with your curriculum vitae or resume via fax or mail to:
Credentialing and Provider Relations
3440 Market Street, Suite 450
Philadelphia, PA 19104
Phone: (215) 746-7906
Fax: (215) 573-6465
Contract & Credentialing
Once the completed request form and supporting documentation are processed, qualified applicants will be contacted for an explanation of the application process and rate information. Contracts will be generated once credentialing appointment is granted.
The application must be completed in its entirety. Incomplete or illegible applications will delay the credentialing process.
Upon receiving the requested documentation the credentialing team will begin the verification process. Once vetted, your credentialing material will be submitted to the Credentialing Committee for consideration. If approved, you will be notified in writing, after which you will be eligible to receive referrals.
Re-credentialing occurs every two years, and throughout the two-year period you will be asked to update information as required. Prior to expiration of your credentialing cycle, you will receive a re-credentialing application packet.