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We invite you to
participate in Atlantic NeuroDiagnostic Group, LLC (ATLANTIC), a specialty
neurodiagnositc network serving the Personal Injury and Workers' Compensation
industry. ATLANTIC IS THE ONLY COMPANY IN THE COUNTRY THAT
PRE-FUNDS ITS CLAIMS WITHIN 72-HOURS OF RECEIPT!
Joining our Network requires two steps:
Step 1: The NeuroDiagnostic Practitioner Agreement must be signed by the
owner or authorized representative. If you elect to have more than one location
participate in the network, you may list the names and addresses on the
signature pages as long as the Tax ID is the same.
Step 2: An Office Application must be completed for EACH location,
even if the Tax ID is the same.
Step 3: Physician Applications must be completed for each Practitioner
performing services at your Office(s).
After ATLANTIC receives the documents, credentialing will begin immediately. In order to expedite the credentialing process, please return your information as soon as possible. Please feel
free to call with any questions or to check on the status of your application.
Our success is the result of a community-based network of providers working to
provide quality diagnostic services within a predetermined payment schedule and
quality management controls that provide for appropriate services and
monitoring of those services. ATLANTIC provides the network, single-source
credentialing and pre-funded claims payment. We depend on your commitment to
quality. In exchange, ATLANTIC promotes marketing of your office through a
single-signature contract accessing many large insurance carriers. Only
professionally competent providers that meet our qualification standards will
be approved to participate in ATLANTIC.
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Office
Application |
Physician
Application |
 Office
Application
Download, fill out and return
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Physician
Application, Download, fill out and return
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NeuroDiagnostic Practitioner Agreement, Download, fill out and return
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Please contact Alan Safron
973-451-9415 ext: 8215 for additional information and to receive a Fee Schedule |
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