Primary Care Provider Proof Forms
Proof Forms are due by November 1 for primary care practices who participated in 2018 incentives. Your practice received a 2018 non-compliant patient list last month of bonus-eligible patients who were, based on our data, not seen in 2018. If you did see any of these patients in 2018, let us know and we will pay you the appropriate bonus on the upcoming check. Please submit to us a Proof Form with appropriate documentation (either an EOP or HCFA) via email (PFKProRelations@NationwideChildrens.org) or secure fax at (614) 355-3185. If you need a copy of the proof form, please email the Provider Relations team. Thanks to those practices who have already submitted forms!