Credentialing
Provider Credentialing
Prime Health Services, Inc. is committed to maintaining a fully credentialed provider network by adhering to NCQA and URAC guidelines. Once a provider participation agreement is established, we begin the credentialing process by verifying key provider information and submitting it to our Credentialing Committee for review.
- NCQA and URAC aligned process
- Credentialing review begins after agreement execution
- Provider information is verified before committee review
- Apply online or download the PDF application
- Complete documentation helps avoid delays
Complete Your Credentialing Application
Choose the option that works best for you. Fill out the secure online form on this page, or download the PDF application and email it to us with your required documents.
Fill Out the Online Form
Complete and submit the secure form right here on this page. No download or printing needed.
Start Online Form ↓Download the PDF Application
Complete the PDF, then email it with your required documents to credentialing@primehealthservices.com.
Fax and mail options are listed under Send Your Documents.
Download PDF ApplicationAttestation Form QR Code
Use your phone camera to scan the QR code below, or open the form directly.