Contact Information
  Status PPO Network
P.O. Box 3058
Modesto, Ca 95352
Tel: (209) 549-3016
Fax: (209) 574-2900

Signup Procedure
 
1. Online Signup
 
 

 

 

MEDICAL PROVIDER SIGNUP GENERAL INFORMATION

The Status PPO Network is comprised of medical providers from every specialty across California . The Network serves a statewide selection of clients including grocery store chains, hospitals and insurance companies. In addition, the Status PPO Network serves as the core for a number of State-approved MPN's.

The Status PPO Network is exclusive to Workers' Compensation and General Liability. Some level of negotiated discount below State Fee Schedule is required. The Network is not leased, and Payers are clearly identified.

The Status PPO Network is easy to apply for – just click HERE to fill out our simple on-line information page, and then download the appropriate application. Complete the application, enclose necessary credentialing documentation and send or fax it to The Status PPO Network. Our Contracting team will review your information and begin the credentialing process.

Important: Please note the following:

  • Submission of the on-line form does not constitute a complete application. The physician application or PT application must be returned, along with all relevant documents in order to be considered for network participation.
  • Submission of an application does not guarantee acceptance into the Network. Many factors, including credentialing and, in the case of MPN's, employer choice, play a role in physician participation.
  • By submitting this application, you indicate your understanding that you may or may not be accepted as a provider in the Status PPO Network.

For a paper copy of the application, please contact the Status PPO Network at (209) 549-3020.


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