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If you would like to become a member of our provider network, you can view and print the application and agreements below. Our applications are provided in Acrobat Reader PDF Format. To download the latest, free version of Acrobat Reader click on the Adobe graphic below.
View Physician Reimbursement Agreement Please complete the application and agreements by following the instructions included and mail to: Health Care Payers Coalition of New Jersey Provider Relations Department Raritan Plaza II P.O. Box 6858 Edison, NJ 08818-6858 If you have any questions, please contact the Provider Relations Department at (732) 417-0005 or simply click on Contact Us to send a question or comment.
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