Provider Nomination Form

Solidarity HealthShare does not have a network of providers, and our Members are able to see any provider they choose. Solidarity HealthShare does have a group of providers called Preferred Providers with whom we have established a Direct Agreement for services. Working with a Preferred Provider can ensure a smooth billing process, payment methods, and established billing rates.

Some of the many benefits to having a Direct Agreement with a Preferred Provider are:

  • Pre-negotiated rates for services rendered.
  • Provider bills Solidarity HealthShare directly. 
  • Through efforts of Provider Account Management, bills associated with Preferred Providers benefit from a streamlined process resulting in expedited bill processing and Pre-Notification times. 

To nominate a provider, please complete and submit Provider Nomination Form. 

Our Provider Relations Team will contact the provider to explain the benefits of becoming a Preferred Provider and begin negotiations with them to establish a formal relationship.

This process of becoming a Preferred Provider can take a minimum of three (3) months depending on the timeliness of the negotiations process.

In the meantime, fill out this form, and our Care Navigation team will reach out to help you locate Preferred Providers or HealthShare friendly providers near you.

Thank you for help in growing our Preferred Provider List!

 

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