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CNA Insurance
 
 or  

PPO Panel Requests

How to submit the request:

Information to include in the request

  • Name of Insured
  • Address of Insured (including zip code)
  • List any specific physicians that should be included in the panel
  • Contact person
  • If Panel can be sent to electronically, include an e-mail address
  • If Panel should be sent hard copy, include mailing address

Timeframe for completing panel submissions

  • Up to 10 panel requests will be provided in 24-48 hours of the request
  • Between 10 and 40 panel requests will be provided within 5 business days of the request
  • Over 40 requests, Operations team will provide an estimated time of completion