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PLAN INFORMATION

Application/Credentialing Information
Health Partners has implemented the CAQH (Council for Affordable Quality Healthcare) system for credentialing and re-credentialing of our providers. Click here to register or log in to the CAQH Universal Provider Datasource.

Physicians can apply to join the Health Partners and/or KidzPartners network as a Primary Care or Specialist provider by submitting a signed copy of the Provider Data Collection Form linked below, along with a signed copy of the Health Partners provider agreement. If you are on a group contract with Health Partners, we will require an updated Exhibit C with the new provider added.

We will continue to accept the Standard PA paper application below; however, we will also need to receive the Provider Data Collection Form. Completed documents can be sent via email to credentialing@healthpart.com, faxed to 215-967-9233, or mailed to:

Attn: Credentialing
Health Partners
901 Market Street, Suite 500
Philadelphia, PA 19107
  Application Instructions by Provider Type  
  Provider Data Collection Form  
  Pennsylvania Standard Application  
 
 
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KidzPartners & CHIP

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