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Paper Credentialing

If you are not registered with CAQH and would prefer to join the Keystone First Community HealthChoices provider network via our paper process, please complete and return the documents listed below.

Forms

Completing and/or submitting the Keystone First Community HealthChoices credentialing application does not guarantee participation in the provider network.

Note: If you are joining an existing Keystone First Community HealthChoices participating group or health care facility and you would like to become a participating provider, please use the credentialing application  (PDF).

Documents and information