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
| Database Options |
| 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 |
