ARC Medical Consulting Group – Credentialing & Formation Document Portal
Please upload any available documents that apply to your organization. Do not worry if you do not have every document available today. Upload what you have and our team will assist you with any missing items.
Startup / Planning Phase Documents
Articles of Organization / Incorporation
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Operating Agreement
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EIN Confirmation Letter
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Business License (if applicable)
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W-9
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NPI Documentation (if available)
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Void Check or Banking Letter (if available)
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Professional License
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Board Certifications
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Degree / Diploma
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Curriculum Vitae (CV)
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DEA Certificate (if applicable)
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Government Issued Photo ID
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Malpractice Insurance Certificate
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Partially Established / Fully Operational Documents
Articles of Organization / Incorporation
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Operating Agreement
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of
EIN Confirmation Letter
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Choose a file
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of
W-9
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of
NPI Documentation
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of
Void Check or Banking Letter
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of
Business License (if applicable)
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of
Professional License
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of
Board Certifications
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of
Degree / Diploma
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of
Curriculum Vitae (CV)
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of
DEA Certificate
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of
Government Issued Photo ID
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of
Malpractice Insurance Certificate
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CAQH Report
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PECOS Documentation
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Medicare Enrollment Documents
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Medicaid Enrollment Documents
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Commercial Insurance Contracts
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Payer Welcome Letters
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Provider Enrollment Letters
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Credentialing Reports
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Additional Documents and Comments
Additional Documents
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