Provider Credentialing

Prime Health Services, Inc. is committed to providing a fully credentialed network of providers by adhering to NCQA and URAC guidelines. Once a provider participation agreement is established, we initiate the credentialing process. This involves verifying key information for each provider listed in the agreement and submitting them to our Credentialing Committee for review.

Required Documents

To ensure a smooth and efficient credentialing process, each provider is asked to submit the following:

• Completed credentialing application
• Current signed attestation page (dated within the last 45 days)
• W-9 form
• Current malpractice insurance
• Current state license(s)
• Current DEA certificate
• Current CDS/DPS certificate (if applicable)
• Current board certification (if applicable)
• Certificate of completion for highest level of professional education (if not board certified)