CREDENTIALED PRACTITIONER ADD/CHANGE FORM  
 

• Add, terminate or change demographic data for credentialed practitioners - Click here for a list of credentialed type practitioners
• Please allow 30 business days for your request to be reviewed and completed.
• For status checks, please contact UCare's Provider Assistance Center at 612-676-3300 or toll free at 1-888-531-1493.
• For questions with filling out the form, please contact UCare's Credentialing Line at 612-676-3660.