Thank you for your interest in MHealth Inc. and MHealth Insurance Company. If you would like to become a network member, please click here for a Request for Participation form. You will need the following information in order to complete this form:
- Provider/facility/urgent care/ancillary name
- Service address with telephone, fax and email address
- Mailing address, if different than service address
- Taxpayer Identification Number (TIN)
- NPI number
For questions or information about joining the MHealth Provider Network, please contact the Provider Relations Department at 713-338-4801 or email@example.com.
An MHealth contracting representative will review your faxed Request for Participation and evaluate against current need to service the membership in a specific geographical area. You may be contacted for additional information.
Dependent on current network needs, state and federal regulations, and other factors, an MHealth representative may contact you to initiate a participation agreement.
At this point, you will be instructed to complete one of the following:
The application must be returned with the signed contracts and all supporting credentialing documentation (e.g., licensure, malpractice insurance, certifications, etc.) to initiate the credentialing process.