Received an email  from Dominique.Clermont@cigna.com confirming the specialty of  William Francis .Responded him back with the clarifimation. Both emails are as follows for reference: --------------------  Hi Dominique,  William Francis is a PCP with speciality as a (Nurse Practitioner). Practice provides: Speciality Care  with the speciality (General Practice).   Please feel free to contact me for any additional information. ---------------------------------------- Dominique.Clermont@cigna.com  Re: Credentialing for mid-level practitioner as primary care provider or specialist  Thank you for your credentialing request.  After careful review, we are unable to determine whether this mid-level practitioner is a primary care provider (PCP) or specialist. A provider type is required to ensure claims are reimbursed accordingly for either primary care or specialist care.  For claim purposes, the following provider types are always reimbursed as primary care:  •           Family medicine  •           Internal medicine  •           General practice  •           Pediatrics  What we need from you  If this mid-level practitioner is not aligned with any of the provider types listed above, please inform of us of the office specialty that best defines the services that you and this mid-level practitioner provide for our customers. The scope of a mid-level practitioner’s care can also be determined by the specialty of the supervising physician he or she primarily works with.  To ensure claims are reimbursed consistently and accurately for this mid-level practitioner, please send this information to me at Dominique.Clermont@cigna.com.  If you have any questions, you can contact me by email or at 800.882.4662.  We appreciate the care you provide our customers.     Thank you,