Use the links below to access medical Provider Forms that may be required to participate in the Companion P&C Network.

Please fill out necessary forms completely. Fax completed forms to Network management, at 803-264-5149.

Allow three to five working days for one of our Medical Network administrators to contact you.

Participation Request Form

Provider Update

Credentialing - Re-Credentialing Hospitals, Ancillary & Grp

GA Standard Application Form

Sched A GA Authorization and Release of Information Form

SC Uniform Managed Care Credentialing App

Universal Credentialing App

WV Credentialing Form

WV Re-Credentialing Form