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Become a Provider

Join our Network

Thank you for your interest in participating with Coordinated Care. We are excited that you selected our provider network as your network of choice.

Please fill out the Provider Intake Form below in order for us to have a better understanding of what services you provide, your location, as well as pertinent information needed for the contracting process.

Note: The Provider Intake Form is for new participating requests, if you are an existing contracted provider with Coordinated Care and would like to modify or update your information – please refer to the Provider Update Tools page.

We will outreach to the contact person listed once a review of your data is completed, this typically takes 15-20 business days. If you have any questions or are in need of additional information, please contact the Contracting Department at

Credentialing Application for:

Email with your provider information including your signed and dated W9.


As a Coordinated Care provider, you can rely on:

  • A comprehensive approach to care for your patients through disease management programs, healthy behavior incentives and 24-hour toll-free access to bi-lingual registered nurses
  • Initial and ongoing provider education through orientations, office visits, training and updates
  • A dedicated claims team to ensure prompt payment
  • Minimal referral requirements and limited prior authorizations
  • A dedicated provider relations team to keep you informed and maintain support in person or by phone
  • The ability to check member eligibility, authorization and claims status online
  • Healthcare collateral for your patients (e.g., information about our benefits and services) and educational displays for your office


For more information on becoming an Ambetter provider, please visit our Ambetter website.