Would like to become a Doctors ACO Provider?

If you or your organization would like more information, please contact us @ This email address is being protected from spambots. You need JavaScript enabled to view it. or call us at 706-963-1722. 

To Join Doctors ACO

Please submit the following documents if you want to be part of the 2017 Shared Saving Program:

  1. ACO Participant TIN Signature Page
  2. ACO Business Associate Agreement Page
  3. ACO Participant Billing Through TIN Page
  4. ACO Participant Questionnaires

Want to resign from an old ACO?

If you’re unsatisfied with the ACO you’re currently in, you can still join Doctors ACO by doing the following:

  • Send resignation letter to your ACO Organization
  • Submit Mutual Agreement Termination (MTA) form
  • File the letter of intent and submit the Doctors ACO joining documents immediately

Would like to become an Affiliate of Doctors ACO?

Please visit the MEMBERSHIP tab for more information on Affiliate Membership with the Doctors ACO network of providers.
 

For more information regarding Doctors ACO, you may contact Doctors ACO team by phone or by email @ 706-963-1722, This email address is being protected from spambots. You need JavaScript enabled to view it.     

    

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