Provider Nomination

Provider Nomination Disclaimer

Signature Care is interested in providing our members with the best healthcare available within Indiana and northwestern Ohio. If you would like to nominate a provider who is not currently participating in the Signature Care network, please let us know.

Before proceeding with the Provider Nomination Form, please read the following:

  • Be sure to check the Provider Directory and/or call the healthcare professional to verify the provider is not currently participating, before proceeding further with the Provider Nomination Form.
  • Note: Submitting a Provider Nomination Form does not guarantee the participation of the nominated healthcare professional in the Signature Care network. There may be adequate coverage in the geographic area in which they practice. Therefore, their specialty may be closed and exceptions are non-negotiable.
  • Please be aware, the process can take several months to complete before a participating provider appears in the Provider Directory.
  • Dental nominations and participating dental providers are available to individuals using the Signature Care dental network.

Signature Care is committed to providing the best healthcare professionals for our members. By nominating a provider you trust, it works to expand our Signature of Quality Care.

Continue to Provider Nomination Form

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