CREDENTIALED PRACTITIONER ADD FORM
Add demographic data for credentialed practitioners | See which provider types need credentialing (Provider Manual, Chapter 17)
Please allow 30 business days for your request to be reviewed and completed.
To check the status of information you have submitted, please contact UCare's Provider Assistance Center:
612-676-3300 or 1-888-531-1493.
For questions about completing this form, please contact UCare's Credentialing Line at 612-676-3660.