Leaving the area, closing your practice, retiring or otherwise terminating your contract

Notifying Priority Health

We require written notice 90 days in advance if you're:
  • Terminating a Priority Health participation agreement
  • Retiring and/or closing your practice

Failure to give us 90 days' notice may result in claims denials or reassignment of members.

Reporting retirement/termination

To notify us, at least 90 days prior to your retirement or termination of your contract with us, you’ll need to:

  1. Log into your prism account.
  2. Click Enrollments & Changes.
  3. Click Change Individual Provider or Organization and follow the steps to submit your change.

Check the status of your request

Once you submit your request, our team will receive an inquiry. You can check the status of your request and view comments from our team any time in prism by clicking on Enrollments & Changes and selecting the Inquiry ID. When you request is completed, you'll receive a comment from our team. Any time our team posts a comment, you'll receive an email notification. 

Notify your patients

  • You must notify members in writing at least 30 days in advance that you're leaving our network.
  • You'll cooperate with extension of care for patients in active treatment, such as pregnant patients past their first trimester, based on the provider participation agreement.

Re-contracting limitation

Physicians or groups who leave our network won't be allowed to re-contract with the plan for 12 months, or until the next contract year, whichever is longer.