Membership Overview

Providers who become members of PH receive the following services and benefits:

Credentialing benefits and services including:

  1. Maintenance of the CAQH online credentialing application;
  2. Assist and review completion of all mandatory, payer-specific credentialing paperwork;
  3. Notification to all contracted health plans of additions, changes or terminations of PH members;
  4. Assisting with notification and implementation of practice changes including address, tax ID, practice affiliation, etc.
  5. Credentialing status tracking and follow-up;
  6. Notification when credentialing is complete and provide effective dates
  • Educational opportunities
  • Provider Relations
  • CollaboRATE group purchasing program that includes:
    • Billing and accounts receivable
    • Vaccine purchasing program
    • Real estate services
    • Medical supply distributor
    • Medical waste removal services
    • Medical coding, consulting and auditing services
    • Telemedicine
    • IT support and phone systems
    • Marketing
    • Document shredding
    • Collection Agency
    • Click here for participating vendors
  • By using the “Messenger” model, Practice Health is able to ease the administrative burden of contracting. This model provides member access, to 17 payer groups and/or individual contracts that cover over 40 product lines. These payer groups include:
    • Aetna
    • Anthem Blue Cross & Blue Shield
    • Clear Spring Health (MA)
    • Cigna
    • Cigna MA (PCP Only)
    • Cofinity
    • Colorado Access
    • Conventry First Health
    • Humana
    • MultiPlan
    • PHCS (Private Healthcare Systems)
    • Beech Street
    • Oscar
    • Rocky Mountain Health Plans

Members of Practice Health must hold active or affiliate medical staff privileges at a HealthONE facility if it’s within the scope of your practice to provide care within a hospital. Practice Health is not involved in the hospital privileges through HealthONE. For more information please contact Credential Support Center at 303-584-2148.