Thank you for registering for our credentialing service. Your sign-up process is not complete until we receive your payment. Please choose either one or both databases in the drop down below. You will be directed to PayPal to complete payment.
PayPal Payment
| Databases |
| One database (usually CAQH) $125.00 USD Two databases (usually Provider One) $200.00 USD |
| Provider First and Last Name |
| PayPal Email Address |
