Credentialing
You shouldn't see Priority Health members who are seeking in-network care from Priority Health providers until you receive notice from us that your request for network participation is complete, along with a network effective date. When we receive your complete credentialing information, it'll take us up to 90 calendar days to process your request.
Learn about our new process for submitting provider information and changes.
Want to participate with us?
Learn about credentialing:
- Credentialing criteria by provider type
- Contracted POs, PHOs and CINs
- Credentialing criteria by organization type
- Adding a provider to your practice
- Credentialing application
- Behavioral health provider credentialing
- Recredentialing
- Credentialing policies
- Confidentiality of credentialing information
- Delegate provider enrollment process
We're addressing delayed processing times for credentialing and enrollment requests
To check the status of your requests :
- Log into your prism account
- Click “Enrollments & Changes”
- Click the Inquiry ID to view the status of your request
- Contracting
- Credentialing
- NPI numbers
- Electronic funds transfer (EFT)
- Physician status
- Open or close to new patients
- Availability standards
- Changes to address or staff
- Provider-patient relationship
- Medical & office records
- Medicaid patient treatment
- Medicare patient treatment
- Audits
- Site visits
- Confidentiality
- Fraud, waste & abuse
- Utilization Management Program