Get Provider Application For Participation In Colorado - Kaiser ... - Providers Kaiserpermanente

Completing the Provider Application for Participation in Colorado - Kaiser Permanente is a crucial step for health care practitioners and facilities seeking to join the network. This guide will provide you with a clear, step-by-step method on how to fill out this application online efficiently.

Follow the steps to fill out your provider application accurately.

1. Press the ‘Get Form’ button to access and open the form for filling out.
2. Begin by filling out the Group/Practice name, Federal Tax ID Number, and NPI Number. Ensure that all entries are clear and legible to avoid any processing issues.
3. Next, provide Contact Name, Contact Street Address, City, State, and Zip Code. Make sure this information is accurate as it will be used for communication.
4. Complete the sections for Facility Locations. You will enter multiple addresses, so have them ready for reference.
5. Indicate your Major Specialty services provided, including any foreign languages in which your group can treat patients.
6. List any hospitals where your providers have admitting or staff privileges, ensuring all information is filled in accurately.
7. Answer the yes/no questions regarding coverage, insurance, location, and Medicare acceptance. Be truthful and provide any necessary details.
8. Review all your entered information for completeness and clarity before saving the form.
9. Once you are satisfied with your entries, save changes to your application. You can also download, print, or share the completed form as needed.

Start filling out your Provider Application online today to join the Kaiser Permanente network.