New Provider and Credentialing

New Providers- Physicians

California Participating Physician Application

Checklist 

IEFMC Agreement 

New Providers- Ancillary NP, PA

Ancillary Application

Checklist

IEFMC Agreement

New- Allied Providers

Allied Application

IEFMC Checklist

IEFMC Agreement

Re-Credentialing Providers

Physician Re Application

Allied-Ancillary Re Application

Re-Credentialing Checklist