Credentialing
Until you receive notice from Priority Health confirming that we have completed your credentialing, you should not see Priority Health members who are seeking in-network care from Priority Health providers.
Want to participate with us?
Learn about credentialing:
Now processing requests received on:
New providers: Oct. 15, 2019
New behavioral health providers: Behavioral health provider participation requests
Provider changes: Nov. 27, 2019
Last updated: Dec. 4, 2019
- 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