MEMBERSPROVIDERS
URAC
NCQA

Provider Representatives

Community Care assigns provider representatives to each facility and practitioner. Names and phone numbers are provided in these documents:

Representatives for Each Facility 453 KB 9 pages PDF
Representatives for Each Practitioner 107 KB 3 pages PDF

How Practitioner Representatives are Assigned

Practitioners are assigned to a provider representative based on the county location of their administrative address. This address is defined by the practitioner when the credentialing or re-credentialing application is submitted.

In counties where there are higher concentrations of practitioners, Community Care has assigned a provider representative within the county based on the first letter of the last name of the practitioner. These assignments apply to all networks for which the practitioner is contracted.

If you have any questions, please call the provider line for assistance.

< Back to Network Development