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Nominate a Provider for the HealthChoice Provider Network

 
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If you know of a medical or dental practitioner or a facility that is not a member of the HealthChoice Provider Network, and you would like them to join, you can nominate them for participation. Leave us some basic information and we will contact the provider, on your behalf, and ask them to consider contracting with HealthChoice to become a network provider.
The contracting process may take several weeks or longer. The provider must satisfy our business requirements and meet our contracting standards. Your nomination does not guarantee the provider is eligible for participation in the network or will agree to contract with us.
Please provide the following information so we can contact your provider:
If a facility is a member of the HealthChoice Provider Network, they can also be nominated for the HealthChoice Select program. Only facilities can participate in HealthChoice Select, not individual practitioners.