Credentialing
You shouldn't see Priority Health members who are seeking in-network care from Priority Health providers until you receive notice from us that your request for network participation is complete, along with a network effective date. When we receive your complete credentialing information, it can take us up to 80 calendar days to process your request.
Want to participate with us?
Learn about credentialing:
- Credentialing criteria by provider type
- Credentialing application
- Contracted POs, PHOs and CINs
- Credentialing criteria by organization type
- Behavioral health provider credentialing
- Doula Credentialing
- Community Health Worker credentialing
- Recredentialing
- Adding a provider to your practice
- Credentialing policies
- Confidentiality of credentialing information
- Delegate provider enrollment process
To check the status of your requests:
- Log into your prism account
- Click “Enrollments & Changes”
- Click the Inquiry ID to view the status of your request
- Contracting
- Credentialing
- NPI numbers
- Electronic funds transfer (EFT)
- Physician status
- Open or close to new patients
- Availability standards
- Changes to address or staff
- Provider-patient relationship
- Medical & office records
- Medicaid patient treatment
- Medicare patient treatment
- Audits
- Site visits
- Confidentiality
- Fraud, waste & abuse
- Utilization Management Program