Providers
DPCI’s Provider Application Process
Delaware Physicians Care, Incorporated (DPCI) is committed to the quality of health care services delivered
to our members. In support of this commitment, we have structured provider credentialing and contracting
processes in place.
DPCI assesses all provider applicants before initiating credentialing and contracting processes. After an
initial review of the application prescreening form, providers will be sent either 1) DPCI Participating
Health Provider (PHP) Agreement (contract) (if one is not already on file) or 2) notification in writing, if
DPCI determines the provider is unable to join the network.
Practitioners applying for participation in the DPCI network:
- Click on Practitioner Application Process on the left side of this page to download the application prescreening form and instructions.
- As a participant with the Council for Affordable Quality Healthcare (CAQH), DPCI utilizes the web-based CAQH uniform provider application. If you have a current CAQH application on file, be sure to include your CAQH ID # when submitting the application screening form.
Organizations/Facilities applying for participation in the DPCI network:
- Click on Organization/Facility Application Process on the left side of this page to download application questionnaire and instructions.
The following steps must be successfully completed for providers to be eligible to provide care to DPCI members:
- Credentialing application must be submitted correctly and completely.
- Provider must be fully credentialed by DPCI.
- New providers will be mailed a DPCI contract. Providers joining an existing group must complete the applicable contract documents to be added to the existing contract.
- Provider must sign and return the DPCI contract documents.
- When credentialing is complete and contract documents have been fully executed, the provider will receive notice from DPCI’s Network Development department with the provider’s effective date of participation, along with the fully executed contract (if it is a new contract).
- Providers should refrain from scheduling and seeing DPCI members until you are notified of your participation effective date.
Please contact Provider Relations with any questions about DPCI’s provider application and credentialing processes at 800-287-9860.
A convenient and secure login is available for Delaware Physicians Care providers
to:
- Submit and verify prior authorizations
- Verify enrollment
- Look up claims status
- Find a doctor or specialist
- Get information on covered health care services
- Access and print member panel rosters
During the registration process, Delaware Physicians Care providers are asked to
assign a Primary Representative from their office. A provider's office has only
one Primary Representative. If necessary, the primary representative is allowed
to add authorized representatives within their office to their account.
To register, click here.
If you are already registered and would like to login to the secure site, please
click here.