DOCUMENT OVERVIEW: Contracting with Insurance Companies will enhance your patient population and help grow your business. The below document may be used to request provider participation requirement information.
RE: Request for participation status
To Whom It May Concern:
My [specialty] practice will open [date] at [street address, city, state, zip code]. My state license number is
I am requesting participating status in [name of insurance company]. Please send me the written requirements and any forms that need to be completed. Please call me at [telephone number] if you have any questions. Or
This document is provided to you as a courtesy by PGM Billing, a full service medical billing company.
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