Organizational provider credentialing and screening

All organizations must complete the requirements below and receive approval from us prior to seeing Priority Health plan members. Most credentialed organizations don’t need credentialing for individual practitioners.

Organizations that require credentialing or screening

The organizational providers listed below are required to complete our credentialing and screening process before accepting Priority Health patients seeking in-network services. This is the full list of practitioners that require a prism application.

Credentialed organization types

  • Acute Rehab Facilities
  • Behavioral health facilities
  • Freestanding ambulatory surgery Facilities (ASF)
  • Sleep disorder clinics
  • Community-based health centers
  • ESRD providers
  • Federally qualified health centers
  • Home health care
  • Home infusion
  • Hospices
  • Hospital
  • Laboratories
  • Long-term acute care
  • Rehab facilities (PT, OT, ST)
  • Retail health clinics
  • Rural health clinics
  • School-based health clinics
  • Skilled nursing facilities (SNF)
  • Tribal health clinics
  • Urgent care facilities

Non-credentialed (screened) organization types

  • Ambulance
  • Anesthesiology
  • Audiology (hearing screenings, hearing aid suppliers)
  • Diabetic prevention program
  • Durable medical equipment (DME)
  • Emergency medicine
  • Health department
  • Independent diagnostic service
  • Pathology
  • Prosthetics/orthotics
  • Radiology/imaging center

Credentialing and screening process

We use an automated submission process for our credentialing form. Learn more about this process by reviewing these prism materials.

  1. Register for or log into your prism account
  2. Complete the Organizational provider credentialing application
    Note: For credentialed organizations, this application must include current accreditation and current liability insurance. If you don't have a contract on file, a contracting team member will reach out to secure a contract.
  3. Include a completed IRS form W-9, Taxpayer Identification and Number Certification.
We'll send you a comment in prism with your inquiry number, any next steps as well as any requests for additional or missing information.