Join the Qualified MAF Physician and/or Qualified BAP Provider Network
Thank you for visiting this page to learn more about participating in the Qualified MAF Physician and/or Qualified BAP Provider Network.
Click here to view the Network Overview,
which covers basic information about the Program and some common questions.
If you are a board-certified neurologist, a board-certified neurosurgeon, other board-certified neuro-specialist physician, or a clinical
neuropsychologist certified by the ABPP or ABCN in the specialty of Clinical Neuropsychology and would like to join this select group of
doctors, click here to complete the Network Provider
Application through our online platform.
If you would prefer to download a copy of the Network Provider Application, please
click here. Complete the application and
send it to the Claims Administrator with the supporting documents described on page one. After receiving your application, the Claims
Administrator will review your education, training, clinical experience, licensing, board certification, insurance coverage and other
background information to see if you qualify to be a physician in the Program. If the Claims Administrator determines that you qualify,
Class Counsel and Counsel for the NFL Parties must approve your participation.
If you would like to talk more about this opportunity, use the contact information below.