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KanCare Training for Providers - Ubhonline.com

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Joining Our Network<br />

If you have received a letter inviting you to the join the network, please <strong>com</strong>plete<br />

the materials that were attached and return them per the instructions in the letter.<br />

If you did not receive a letter but want to join the network, please contact Optum:<br />

by email at: (refer to handout)<br />

or by fax at: 612-234-0220<br />

Be sure to include the following in<strong>for</strong>mation in your request:<br />

Your full name<br />

Your clinical license type<br />

Your date of birth<br />

Your CAQH Application ID Number<br />

Your email address<br />

Tax ID<br />

Name of Group or Agency<br />

Confidential property of Optum. Do not distribute or reproduce without express permission from Optum.<br />

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