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Join the Medical Provider Network

As of January 2013, certain medical providers must be in our network to care for injured workers (including those employed by self-insured businesses) beyond the initial office or emergency-room visit.

Find out whether you need to join, and how to apply:

What's the status of my application?

Why should I join?

If you're a type of provider that we're asking to join the network, and you don't apply, we can only pay you for initial office or emergency room visits, as of Jan. 2013.

What happens if I don't join?

If you're a type of provider that we're asking to join the network, and you don't join, you can still treat injured workers for the initial visit, but you will need to transfer those that need ongoing care.

Questions?

Looking for the Statewide Payee Registration and W-9 Form?

If you're applying online with ProviderSource, complete one of these forms for each location or tax ID you have. Download, fill out, print, and sign, then fax or mail to the address on the form.

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