Questions?
You can learn more about our network. Just contact us. We’re here for you Monday through Friday, 7:30 AM to 7:30 PM.
Why our network?
Why our network?
Whether you’re a physical or behavioral health care provider, we’ll work with you to understand your business and meet your needs.
When you take part in our provider network, you benefit from:
- Competitive compensation
- Ongoing support and learning opportunities
- Timely and efficient claims processing
- Advanced technology to help enhance patient care
- Dedicated support from us
Get all the answers you need from our communication materials, including the provider manual, newsletters and bulletins, emails, website notices, training kits and more.
We also help you:
- Track member information and updates
- Find forms
- Review claims or remittance advice
- Update changes to your practice
Your Provider Relations team
Your Provider Relations team
After you join our network, we’ll assign you a network relations consultant. They’ll be your primary point of contact with us, sharing important information with you. They’ll also help you with any admin or operational concerns, like tracking member information and updates, finding forms and reviewing claims or remittance advice.
Your network relations consultant will:
Share our administrative policies and procedures
Communicate changes and updates that help you in the efficient administration of our plans
Advocate on your behalf to resolve issues
Manage changes to your demographic information
Our network relations consultants are based in the communities they serve, fostering personal relationships and a high level of responsiveness. They engage with providers in a variety of ways to provide proactive, prompt and collaborative communication.
You can also find answers in your provider materials, like your provider manual, notices and newsletters, training, emails and more.
Specialty services
We use these network vendors for specialty services, areas and products. You can contact them if you’d like to join our network.
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Provider |
Service area |
Contact information |
|---|---|---|---|
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Behavioral health |
Behavioral Services Network (BSN) |
Statewide |
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Chiropractic |
Doctor's Professional Services Consultants |
Statewide |
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Dermatology |
Dermatology Network Solutions |
Statewide |
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Ophthalmology & optometry |
iCare Health Solutions |
Statewide |
|
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Orthopedic |
Orthopedix Network Solutions |
Miami-Dade |
|
|
Podiatry |
Podicare |
Statewide (FHK limited to regions 9 & 11 only) |
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Physical, occupational and speech therapy |
Health Network One/ATA |
Statewide |
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Application and credentials
Credentialing criteria
Our network includes many hospitals, physicians, surgery centers and ancillary providers throughout the United States. To join our network, providers must meet qualifications such as:
Coverage 24 hours a day, 7 days a week
A current, valid state license to practice medicine
Staff privileges at a participating hospital
An active Drug Enforcement Agency (DEA) certificate (if applicable)
Verification of medical school completion, residency training and fellowship
Verification of board certification (in specialty being practiced)
Current professional liability insurance that meets state minimum requirements
Acceptable professional claims liability history, including the National Practitioners Data Bank (NPDB)
About your application
The Health Care Credentials and Data Collection Act requires us to use uniform forms to collect your credentials data. We now accept provider credentialing applications through the Council for Affordable Quality Healthcare (CAQH) Universal Provider Datasource. This system is a national provider credentialing application database that streamlines the application process by reducing administrative costs and the need to submit multiple applications for different health plans.