Join the Network
Join the Network
Start the Prime Health Services provider network onboarding process in three clear steps. Complete your attestation, sign the correct agreement, and submit your credentialing form so our team can review your information.
Complete These Steps in Order
Providers and facilities should complete the attestation first, then sign the correct agreement, then submit the credentialing form below.
Sign Attestation
Complete the attestation form before moving into the agreement and credentialing portion of the process.
Sign Provider/Facility Agreement
Choose whether you are signing as a provider or as a facility.
Complete Credentialing Form
Fill out the secure credentialing form after your attestation and agreement steps are complete.
Choose Your Agreement Type
Select the option that applies to you. Providers and facilities use different agreement forms.
Provider Agreement
Select the state where your provider or practice is located. The appropriate provider agreement will appear below.
Facility Agreement
Complete the facility agreement below. This option is for hospitals, surgery centers, imaging centers, and other facility-based organizations.
Complete Your Credentialing Form
Fill out the secure form below to submit your credentialing information after your attestation and agreement steps are complete.
Attestation Form QR Code
Use your phone camera to scan the QR code below, or open the form directly.
Fill Out Attestation
Complete the attestation form below. After this step is complete, return to this page to choose the correct agreement type.