We hope you'll consider joining the Priority Health HMO, PPO, Medicaid and Medicare networks and partnering with us in the work of providing our members the right care and the best patient experience at a fair price.
Our networks are currently closed to some specialties
Occasionally, due to network size and volume of patients, we close network participation to new providers. We are currently not accepting/credentialing:
- Behavioral health (open to some types of providers, but closed to others; learn more)
- Physical therapy
How to join Priority Health networks
Review the credentialing criteria for your provider type/specialty.
Make sure you need to be credentialed to particpate with us.
See a list of PO/PHO organizations contracted with us (you may not need to be credentialed individually, or the organization may handle it for you)
Send us a request to participate.
All providers requiring credentialing must first register with the Council for Affordable Healthcare (CAQH) Proview™ website and ensure that the information is up to date. If you are not yet registered:
Or, call CAQH® at 888.599.1771 to register.
Send us a Credentialing Supplemental form.
Once you are registered with CAQH® Proview™, complete and return a Credentialing Supplemental Form UNLESS you are employed by an organization that will make the request for you. These include:
Members of a physician hospital organization (PHO) contracted with us
Members of a physician organization (PO) contracted with us
Go to the organization credentialing process
Complete the credentialing and contracting process.
Until all steps are completed, you should not see Priority Health members who are seeking in-network care from Priority Health providers.
Enrollment can take 8-12 weeks once we receive your contract and credentialing documents. Learn more about the credentialing process.
Once you are credentialed and your contracts have been executed, we'll send you a notice welcoming you to the Priority Health network, with your effective date of participation.
This form gives your consent for the release of your CAQH® information to Priority Health. It also allows us to initiate and complete your credentialing.
Once we receive your completed Credentialing Supplemental Form, Priority Health assigns your request to a contract administrator. Your contract administrator will contact you directly to determine your contract needs, give you the right documents to complete, and explain the contracting process.
Now processing requests received on:
New providers: Feb. 20, 2018
Provider changes: Oct. 18, 2017
We apologize for the delay. We're working on improving our turnaround times.
Last updated: Apr. 19, 2018