You don’t need to do anything else. You’ll get a fully executed copy of your provider participation agreement once you complete the credentialing process. Then, we’ll add your practice to our internal systems. Members will be able to find you in our “Find a provider” online directory.
Why our network?
Why our network?
Whether you’re a physical or behavioral health care provider, we’ll work with you to understand your business and meet your needs.
When you take part in our provider network, you benefit from:
- Competitive compensation
- Ongoing support and learning opportunities
- Timely and efficient claims processing
- Advanced technology to help enhance patient care
- Dedicated support from us
Get all the answers you need from our communication materials, including the provider manual, newsletters and bulletins, emails, website notices, training kits and more.
We also help you:
- Track member information and updates
- Find forms
- Review claims or remittance advice
- Update changes to your practice
Your Provider Relations team
Your Provider Relations team
After you join our network, we’ll assign you a network relations consultant. They’ll be your primary point of contact with us, sharing important information with you. They’ll also help you with any admin or operational concerns, like tracking member information and updates, finding forms and reviewing claims or remittance advice.
Your network relations consultant will:
- Share our administrative policies and procedures
- Communicate changes and updates that help you in the efficient administration of our plans
- Advocate on your behalf to resolve issues
- Manage changes to your demographic information
Our network relations consultants are based in the communities they serve, fostering personal relationships and a high level of responsiveness. They engage with providers in a variety of ways to provide proactive, prompt and collaborative communication.
You can also find answers in your provider materials, like your provider manual, notices and newsletters, training, emails and more.
How to join our network
Here’s how to start the process of joining our network of participating providers:
- Complete an LOI:
- Sign, date and email us the LOI, along with the LOI information form.
- Look out for our written agreement via email for your review.
- Sign the agreement and follow instructions in the email.
- We’ll send you a welcome packet with a copy of our finalized contract.
- We’ll add your name to our provider directory.
Questions? Email us today.
Specialty services
We use these network vendors for specialty services, areas and products. You can contact them if you’d like to join our network.
|
Specialty |
Provider |
Service area |
Contact information |
|---|---|---|---|
|
Behavioral health |
Behavioral Services Network (BSN) |
Statewide |
|
|
Chiropractic |
Doctor's Professional Services Consultants |
Statewide |
|
|
Dermatology |
Dermatology Network Solutions |
Statewide |
|
|
Ophthalmology & optometry |
iCare Health Solutions |
Statewide |
|
|
Orthopedic |
Orthopedix Network Solutions |
Miami-Dade |
|
|
Podiatry |
Podicare |
MMA limited to regions 6,7,11 only |
|
|
Physical, occupational and speech therapy |
Health Network One/ATA |
Statewide |
Specialty |
Behavioral health |
|---|---|
Provider |
Behavioral Services Network (BSN) |
Service area |
Statewide |
Contact information |
|
Specialty |
Chiropractic |
Provider |
Doctor's Professional Services Consultants |
Service area |
Statewide |
Contact information |
|
Specialty |
Dermatology |
Provider |
Dermatology Network Solutions |
Service area |
Statewide |
Contact information |
|
Specialty |
Ophthalmology & optometry |
Provider |
iCare Health Solutions |
Service area |
Statewide |
Contact information |
|
Specialty |
Orthopedic |
Provider |
Orthopedix Network Solutions |
Service area |
Miami-Dade |
Contact information |
|
Specialty |
Podiatry |
Provider |
Podicare |
Service area |
MMA limited to regions 6,7,11 only |
Contact information |
|
Specialty |
Physical, occupational and speech therapy |
Provider |
Health Network One/ATA |
Service area |
Statewide |
Contact information |
Application and credentials
Application and credentials
Credentialing criteria
Our network includes many hospitals, physicians, surgery centers and ancillary providers throughout the United States. To join our network, providers must meet qualifications such as:
- Coverage 24 hours a day, 7 days a week
- A current, valid state license to practice medicine
- Staff privileges at a participating hospital
- An active Drug Enforcement Agency (DEA) certificate (if applicable)
- Verification of medical school completion, residency training and fellowship
- Verification of board certification (in specialty being practiced)
- Current professional liability insurance that meets state minimum requirements
- Acceptable professional claims liability history, including the National Practitioners Data Bank (NPDB)
About your application
The Health Care Credentials and Data Collection Act requires us to use uniform forms to collect your credentials data. We now accept provider credentialing applications through the Council for Affordable Quality Healthcare (CAQH) Universal Provider Datasource. This system is a national provider credentialing application database that streamlines the application process by reducing administrative costs and the need to submit multiple applications for different health plans.
Questions?
You can learn more about our network. Just contact us. We’re here for you Monday through Friday, 7:30 AM to 7:30 PM.
