icon picker
Group Practice Attestation

Some payors ask for written confirmation that you’re enrolling as a group practice, not as individual providers. Here’s what to include and when it’s required.
Some payors—particularly Medicare, Medicaid, and certain commercial networks—may ask you to confirm that your practice is operating as a group rather than as a collection of individual providers. This is typically done through a Group Practice Attestation or similar document.
Even if your group is small, payors may need written confirmation that you're credentialing under a Type 2 NPI and billing as an organization.

What Is a Group Practice Attestation?

A Group Practice Attestation is a brief statement confirming that your business is credentialing as a group practice, and that services are provided under the group’s legal and billing structure.
It usually includes:
Your group’s legal name
Tax ID and Type 2 NPI
A statement affirming that you operate as a group
A list of current or planned providers (optional)
A signature from the owner or authorized representative
It may also clarify whether your providers are employees, contractors, or affiliates of the group.

Why Do Payors Ask for This?

Payors use this attestation to:
Confirm how your services will be billed (under the group vs. individually)
Set up your organization correctly in their systems
Avoid misclassification of provider types
Comply with internal and regulatory requirements
This document helps prevent claim issues and setup errors—especially when multiple providers are involved.

When Might You Be Asked for It?

You may be asked to submit a Group Practice Attestation when:
Enrolling with a new payor as a group
Applying for a Type 2 NPI-based contract
Working with Medicare, Medicaid, or certain behavioral health networks
Credentialing a new provider under an existing group
Not every payor will request it, but it's common in government programs and networks that require clear structural documentation.

Tips for Providing a Group Attestation

Use your official legal name as it appears on your W-9 and CP-575
Include your group NPI (Type 2) and Tax ID
Clearly state that you operate as a group practice
Keep it brief—usually 1–2 paragraphs
Sign and date the statement as the authorized representative

pie

Need Help or Have a Question?

We know that credentialing doesn’t always follow a script. If something’s unclear or not covered here, reach out—we’re here to help.
📧 📞 800-799-3859


Want to print your doc?
This is not the way.
Try clicking the ⋯ next to your doc name or using a keyboard shortcut (
CtrlP
) instead.