Physician Application Form
Thank you for your interest in becoming a member of Professional Medical Corporation (PMC); a network of 440 independent physicians dedicated to quality improvement and efficiency of patient care.
Below, please find a complete membership packet that will assist PMC in your enrollment process. Please fully complete the packet with all the information requested. Failure to do so may delay the contracting process for the various health plans. Once the membership information is received, along with the $1500 membership fee, the contracts will be submitted to the health plans.
PMC does not determine the length of time it takes each health plan to process contracting paperwork. It is recommended the practice review and/or confirm an effective start date with each health plan before scheduling patients with these health plans. Please keep in mind contracting may take up to 180 days for the process to be completed (for the physician to be contracted).
PMC Responsibilities:
- Process PMC membership application
- Submit signed contracts to the health plans within 3-5 business days of receiving the packet
- Confirm within 30 days the contract was received, and the health plan is processing
Practice:
- For status updates on contracting, please utilize the given list to contact the health plan directly
- Review and/or confirm effective date with the health plans before scheduling those patients
- Contact PMC membership if there are any questions after the contracts are submitted to the health plan
If you have any questions completing the application, please feel free to email PMCMembership@medicaladvantage.com or call (800) 594-6115.
We look forward to working with you,
PMC Team
Downloadable Form
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