Participate With HWMG
We welcome you to join HWMG’s medical or dental provider network! If you are interested in participating, please complete and submit the applicable forms described below along with all required documents. Please allow ample time to complete the entire contracting and credentialing process prior to the anticipated start date. Processing time can be up to 90 days to accommodate verifications and resolution of discrepancies.
- Individual, group, and facility providers will need to submit one contracting application and Form W-9 for their practice.
Each practitioner, hospital, or facility will also need to submit a credentialing application with supporting documentation. There are a number of ways to complete a credentialing application. Please choose from one of the options described in our credentialing process.
- Provider Add, Delete or Change Form – If you are adding more than one practitioner to a practice, please complete this form for each new practitioner. A credentialing application is also required for each new practitioner.