Effective 4/1/21, iCircle Services will be going through system changes to allow for better efficiencies, plan-wide, that will involve multiple iCircle departments. Please view our letter to providers notating clearinghouse changes and clearinghouse information document for more information on these changes.
In addition, please note our letter regarding upcoming Service Authorization Format Changes.
Join Our Network: Enrollment Application – Provider Group
Join Our Network: Enrollment Application – Provider Individual
Provider Demographic Change Form
ERA Enrollment Instructions
Disclosure of Ownership & Control Interest Statement
Credentialing Application for Transportation
Authorization Revision Request Form
iCircle Clearinghouse Change Letter – Effective 4/1/2021
iCircle Services MLTC Clearinghouse Information
Service Authorization Format Changes Letter
iCircle Common Contacts
Provider Roster Template for Enrolling Individuals in a Group Practice
Authorization Information Change Form
CMS-1500 Tip Sheet