Become a Contracted Provider
(copy with link to Symplr)

Online Provider Credentialing
(copy with link to Symplr)

Provider Portal

• Provider Portal Requests
• Aerial Care Coordination (UM Portal)
• PopIQ Health

Training

• Provider Compliance Training
• Claims Submission Requirements
• HCC Training

Resources

• Benefit Plans
• Part D Formularies
• Provider Search

Forms and Documents

• Enrollment Form (2024)
• Chronic Kidney disease Patient Care Checklist
• CMS484-Certificate of Medical Necessity for Oxygen
• Case Management Referral Form
• IRS Form W-9
• Pre-Authorization Form