Provider Application / Participation Requests

If you are joining a current participating provider group or clinic with HealthSCOPE Benefits, please select the Contact Provider Relations tab below and complete the requested information. After credentialing occurs, you will be notified and rolled under the participating clinic agreement that currently exists.

If you are not joining a participating provider group or clinic, please select the Contact Provider Relations tab below and complete the requested information. Your information will be reviewed by our contracting staff and if it meets our current provider needs (location, specialty, etc) a provider application will be sent to you.