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.
|One database (CAQH or Provider Source) $225.00 USD Two databases (both CAQH and Provider Source) $300.00 USD|
|Provider First and Last Name|
|PayPal Email Address|