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Provider Applications

The process to join the iCare network of contracted providers is straight forward. Let us walk you through it. 

Join the iCare network of contracted providers

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Application Instructions


All providers are required to complete an application to be considered for participation in iCare's Provider Network. For assistance in determining the correct application, please review the Provider Applications List.

Completed applications (and applicable attachments) may be emailed to providerupdates@icarehealthplan.org or faxed to (414) 272-5618, ATTN: Network Development.

What to Expect

After the complete application has been submitted, we will notify you by e-mail indicating that your application has been received. Incomplete applications will be returned without further review. If your application is complete, the iCare Network Development Team will then review the application against iCare's Provider Network. If iCare is in need of the services being offered, the applicant will be contacted by a Network Development Contract Specialist. If iCare is not expanding the Provider Network for the submitted service area and/or category indicated on the application, a letter will be sent informing the applicant of the denial. An application denial does not restrict a provider from applying again in the future.

*Please note that submission of any Provider Application does not confirm your network participation status with iCare. Participation in the iCare Provider Network requires completion of credentialing and execution of a Service Agreement. Providers will be notified in writing after the contract is fully executed.

Still have questions about becoming an iCare contracted provider? Connect with us!

* denotes required field

Your Full Name *

Organization Name *

Phone Number (format: 123-456-7890)

Email *

Subject *

Upload file (if applicable)

I am a provider that:

 Is currently contracted with iCare

 Has begun the process of becoming contracted with iCare

 Is interested in applying to be part of the iCare network

My message is to:  (select from list)

 

Heard of NPPES?

NPPES is the National Plan and Provider Enumeration System. It provides core directory data elements (provider name, specialty, address, and telephone number) in a machine-readable format for virtually every provider in the country. Use of NPPES by providers improves provider directory reliability and accuracy.

Learn more about NPPES

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