Personal Information
Please complete name, specialty, degree and please indicate whether you are a provider of office staff.
Please select a subject so that the appropriate staff member can contact you. Please use the Comments section for your inquiry—the more detailed the comments the
better RCIPA staff are able to assist you.
Name
Title
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CNM
CSW
DDS
DMD
DO
MD
OD
PhD
PT
Position
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Allied Health Professional
Office Staff-Billing
Office Staff-Clinical
Physician
Specialty
Please make a selection
Acupuncturist
Addiction Medicine-Anesthesiology
Addiction Medicine-Family Medicine
Addiction Medicine-Internal Medicine
Addiction Medicine-Psychiatry & Neurology
Adolescent Medicine-Family Medicine
Adolescent Medicine-Internal Medicine
Adolescent Medicine-Pediatrics
Allergy & Immunology
Allergy & Immunology, Allergy
Anatomic Pathology & Clinical Pathology
Anesthesiology
Anesthesiology Critical Care Medicine
Audiologist
Bariatric Medicine
Blood Banking & Transfusion Medicine
Cardiovascular Disease
Certified Nurse Midwife
Chiropractor
Clinical & Laboratory Dermatological Immunology
Clinical Cytogenetic
Clinical Neuropsychologist
Clinical Pathology
Clinical Psychologist
Clinical Psychologist (Adult Development & Aging)
Clinical Psychologist (Child & Adolescent)
Clinical Psychologist Developmental Disabilities
Colon & Rectal Surgery
Dermatology
Dermatology / Dermatopathology
Dermatology / MOHS-Micrographic Surgery
Diagnostic Ultrasound
Dietitian, Registered
Emergency Medicine
Endocrinology, Diabetes & Metabolism
Endodontics
Enterostomal Therapy
Family Medicine
Family Medicine-Geriatric Medicine
Gastroenterology
General Practice
General Practice Dentistry
Geriatric Medicine
Hematology
Hematology & Oncology
Hematology Pathology
Hepatology
Hospice & Palliative Medicine-Anesthesiology
Hospice & Palliative Medicine-Emergency Medicine
Hospice & Palliative Medicine-Family Medicine
Hospice & Palliative Medicine-Internal Medicine
Hospice & Palliative Medicine-Obstetrics & Gynecology
Hospice & Palliative Medicine-Pediatrics
Hospice & Palliative Medicine-Physical Medicine & Rehab
Hospice & Palliative Medicine-Psychiatry & Neurology
Hospice & Palliative Medicine-Radiology
Hospice & Palliative Medicine-Surgery
Hospitalist
Infectious Disease
Internal Medicine
Internal Medicine, Clinical Cardiac Electrophysiology
Internal Medicine, Critical Care Medicine
Interventional Cardiology
Licensed Marriage & Family Therapist
Licensed Massage Therapist
Licensed Social Worker
Medical Genetics (MD)
Medical Oncology
Nephrology
Neurological Surgery
Neurology
Neurology with Special Qualifications in Child Neurology
Neuromusculoskeletal Medicine & OMM
Nuclear Cardiology
Nuclear Medicine
Nuclear Radiology
Nutritionist
Obstetrics & Gynecology
Obstetrics & Gynecology, Critical Care Medicine
Obstetrics & Gynecology, Gynecologic Oncology
Obstetrics & Gynecology, Gynecology
Obstetrics & Gynecology, Maternal & Fetal Medicine
Obstetrics & Gynecology, Obstetrics
Obstetrics & Gynecology, Reproductive Endocrinology
Occupational Therapist
Ophthalmology
Optometrist
Oral and Maxillofacial Pathology
Oral and Maxillofacial Radiology
Oral and Maxillofacial Surgery
Orthodontics and Dentofacial Orthopedics
Orthopaedic Surgery
Orthopaedic Surgery, Adult Reconstructive Surgery
Orthopaedic Surgery, Foot and Ankle Surgery
Orthopaedic Surgery, Hand Surgery
Orthopaedic Surgery, Orthopaedic Surgery of the Spine
Orthopaedic Surgery, Orthopaedic Trauma
Otolaryngology
Otolaryngology, Facial Plastic Surgery
Otolaryngology, Otolaryngic Allergy
Otolaryngology, Otology & Neurotology
Otolaryngology, Plastic Surgery within the Head & Neck
Pain Medicine, Interventional Pain Medicine
Pain Medicine-Anesthesiology
Pain Medicine-Pain Medicine
Pain Medicine-Physical Medicine & Rehabilitation
Pain Medicine-Psychiatry & Neurology
Pediatric Allergy & Immunology
Pediatric Anesthesiology
Pediatric Cardiology
Pediatric Critical Care Medicine
Pediatric Dentistry
Pediatric Dermatology
Pediatric Emergency Medicine
Pediatric Endocrinology
Pediatric Gastroenterology
Pediatric Hematology-Oncology
Pediatric Infectious Diseases
Pediatric Nephrology
Pediatric Orthopaedic Surgery
Pediatric Otolaryngology
Pediatric Pathology
Pediatric Pulmonology
Pediatric Radiology
Pediatric Rheumatology
Pediatric Surgery
Pediatric Transplant Hepatology
Pediatric Urology
Pediatrics
Pediatrics Child Abuse Pediatrics
Pediatrics Clinical & Laboratory Immunology
Pediatrics Developmental & Behavioral Pediatrics
Pediatrics Medical Toxicology
Pediatrics Neonatal-Perinatal Medicine
Pediatrics Neurodevelopmental Disabilities
Periodontics
Physical Medicine & Rehab, Spinal Cord Injury Medicine
Physical Medicine & Rehabilitation
Physical Therapist
Plastic Surgery
Plastic Surgery Surgery of the Hand
Plastic Surgery Within the Head and Neck
Podiatrist
Preventive Medicine
Preventive Medicine Medical Toxicology
Preventive Medicine Occupational Medicine
Preventive Medicine/Occupational Environmental Medicine
Prosthodontics
Psychiatry
Psychiatry & Neurology, Clinical Neurophysiology
Psychiatry & Neurology, Psychosomatic Medicine
Psychiatry & Neurology, Vascular Neurology
Psychiatry Addiction Psychiatry
Psychiatry Child & Adolescent
Psychiatry Forensic Psychiatry
Psychiatry Geriatric Psychiatry
Psychiatry-Nurse Practitioner
Psychologist - Addiction (Substance Use Disorder)
Pulmonary Disease
Radiation Oncology
Radiology, Body Imaging
Radiology, Diagnostic Radiology
Radiology, Neuroradiology
Radiology, Vascular & Interventional Radiology
Respiratory Therapist, Registered
Rheumatology
Sleep Medicine-Family Medicine
Sleep Medicine-Internal Medicine
Sleep Medicine-Otolaryngology
Sleep Medicine-Pediatrics
Sleep Medicine-Psychiatry & Neurology
Speech-Language Pathologist
Sports Medicine-Emergency Medicine
Sports Medicine-Family Medicine
Sports Medicine-Internal Medicine
Sports Medicine-Orthopaedic Surgery
Sports Medicine-Pediatrics
Sports Medicine-Physical Medicine & Rehabilitation
Sports Medicine-Preventive Medicine
Sports Medicine-Psychiatry & Neurology
Surgery, General Surgery
Surgery, Plastic and Reconstructive Surgery
Surgery, Surgery of the Hand
Surgery, Surgical Critical Care
Surgery, Surgical Oncology
Surgery, Trauma Surgery
Surgery, Vascular Surgery
Therapeutic Radiology
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Transplant Hepatology
Transplant Surgery
Urology
Subject
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Aetna Fee Schedule Question
Aetna Provider Application Request
CAQH Question
General Aetna Question
General Independent Health Question
General POMCO Question
General RCIPA Inquiry
I want to become a RCIPA member
Other-see Comments
Comments