How to join Priority Health networksIf you are a Michigan provider interested in joining our network, see our service area maps and follow the steps outlined below.
1. Review the credentialing criteria for your provider type/specialty.
Make sure you need to be credentialed to participate with us.
- Behavioral health provider participation requests
- Credentialing criteria by provider type
- Organization credentialing
- 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)
2. Participate with CAQH.
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.
3. Send us a Provider information form.
Once you are registered with CAQH® Proview™, complete and return a Provider information form UNLESS you are employed by an organization that will make the request for you. These include:
- Hospital-employed providers
- Members of a physician hospital organization (PHO) contracted with us
- Members of a physician organization (PO) contracted with us
If any of these apply to you, go to the organization credentialing process.
If you are a behavioral health provider, go to Behavioral health provider participation instructions.
4. 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.
When you complete our credentialing form, you consent to releasing your CAQH® information to us. Learn more about the credentialing process.
Our workflow for getting your questions answered
When we receive your complete credentialing information, it will take us a maximum total of 62 calendar days for us to process your request. This does not include additional time for contracting.
We work hard to process your requests in a timely manner. Each step in our credentialing process takes time and we have made an effort to allocate a designated number of calendar days for each team processing your request. Our Credentialing process takes 37 calendar days, followed by 18 calendar days for provider enrollment and 7 days for provider reimbursement equaling a total of 62 calendar days to complete your request.
We recognize that every request is unique, and not all workflow steps may be required to complete your request. Below is a diagram that was created to show you what step within the process your request is at in our workflow.
After a request is submitted, you'll receive an initial email, letting you know we've received your request and indicating the workflow step your request is in. You'll also get an inquiry number associated with the request. Keep the inquiry number in a safe place, because it will help us locate your request if you have questions.
Following this initial communication, you'll receive updates from us at each step in the process, letting you know the status of your request, including any action items or additional information we need from you (if applicable).
If it is determined that a contract is needed, your contract administrator will contact you directly to determine your contract needs.
*Note: the contracting processing time is not within our workflow processing timeframe above.
Once your request is complete, you'll receive a final communication from us that includes your effective date. You can begin billing for dates of service on the effective date. Claims submitted before the effective date may result in incorrect payment or denial.
We have created a new email for you to utilize in the event your request has gone over our processing time frames. The email address is Exceedsprocessingtime@priorityhealth.com. Be sure to include your inquiry number within your status update.
Our networks are currently closed to some specialties
Occasionally, due to network size and volume of patients, we limit network participation to new providers. We are currently not accepting/credentialing:
- Physical therapy