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Provider Forms

If you are a non-contracted facility and wish to apply to be in-network please complete the Provider Participation Request Form.

Want to Become a Quartz Provider?

Chiropractic Providers

Fulcrum Health, Inc., contracts for chiropractors on behalf of Quartz.

Home Medical Equipment, Home Health, or Durable Medical equipment

If you are a non-contracted facility and wish to apply to be in-network please complete the Provider Participation Request Form.

Infusion Services

UW Health Care Direct Health Resources provides medical management and care coordination of home health and infusion services for Quartz.

Call (800) 730-8555 or (608) 831-8555 with questions or for more information.

Applications submitted to Quartz will be reviewed, and a response will be sent when a decision has been made. For inquiries, please contact Customer Success at (800) 362-3310.