Call Today: (800) USA-0820

PROVIDER FORMS

 

Get the forms you need!

All printable information is presented in Adobe PDF format and easy to download. The free plugin, Adobe Reader, is required. Get it free from Adobe's website.

 

Minimum Standards for Provider Participation: Physicians and Allied Health Professionals.

Change Form: Provider Information Change Notification Form.

Provider Referral Fax Back Sheet: If a provider you frequently refer to is out of network, simply print out, complete, and fax us this form and our Network Development team will contact them.

Provider Information Packet: Find all the information about being a USAMCO Provider.

Provider Satisfaction Survey: Take a moment to let us know how we are doing.

Patient Satisfaction Survey Results: See the results of our Patient Satisfaction Survey.

Practitioner Site Survey Results: View the results of our Provider Site Survey Questionnaire.

Texas Workers' Compensation Providers Click here.

For more information, contact USA MCO at: info@usamco.com or at (800) 872-0820.

USA Managed Care Organization

 

With over thirty years experience in the managed care industry, USA Managed Care Organization is committed to providing innovative, practical and cost-effective strategies for its clients. USA's integrated corporate structure and support system enables the continued growth in the group health and workers' compensation markets.

Health and Wellness

 

USA MCO offers our clients and patients a fully-accredited and thoroughly integrated medical delivery system offering national strength, leverage and flexibility.

 

Workers' Compensation

USA MCO offers a proven package of cost management services including its National PPO Network specifically designed for Workers' Compensation in tandem with its custom-developed Strategic Statutory Cost Containment and Bill Review systems.