Credentialing
Provider Network
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.
Choose the option that applies to you
For Initial / New Providers
Sign & Download Attestation Form
Start here if you are completing your initial credentialing paperwork.
Open Attestation Form
or scan the QR code
For Returning Providers
Complete Recredentialing
Use this option only if you are already in our network and need to recredential.
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Quick Overview
- NCQA and URAC aligned process
- Credentialing review begins after agreement execution
- Provider information is verified before committee review
- Complete documentation helps avoid delays
Submission Form
Complete Your Credentialing Form
Fill out the secure form below to submit your credentialing information.
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Open Attestation Form in New Tab
Attestation Form QR Code
Use your phone camera to scan the QR code below, or open the form directly.