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Join the Network  

Participate in Our Network
We make it easy for you to work with us

Thank you for your interest in the First Health Network. If you are a health care professional who would like to apply for network participation, the approved applications are below in PDF format which you can download, complete and submit.

Want fast results? Use CAQH — the fastest way to participate in the network and keep your information current.

Upon receipt of your request, you will receive a packet that includes the following:

  • Contract
  • Sample fee schedule
Additionally you may want to review the following information, available online:
  • Check List (identifies what documents are required prior to contracting)

If you are practicing in one of the following states that requires a specific application, you can link directly to the state-specific application below.

  • Colorado
  • Michigan
  • Oklahoma
  • Illinois Initial
  • Mississippi
  • Oregon Initial
  • Illinois Recredential
  • Missouri
  • Oregon Recredential
  • Kentucky Initial and
  • Nevada
  • Texas
    Recredential
  • New Jersey Initial
  • West Virginia Initial
  • Louisiana
  • New Jersey Recredential
  • West Virginia
  • Maryland Initial and
  • North Carolina Recredential
    Recredential
  • Ohio    

    Please remember that sending in an application does not automatically make you a network participant. A First Health associate will send you a contract and rate information. Additionally, there are a number of items that need to accompany the application you submit, so be sure to review the check list to facilitate the contracting process.