Providers / Physicians
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View Claims Data
Submit Prior Authorizations
Providers Welcomed (and Applauded) Here
As a physician-led organization, we understand the challenges providers face. (And working with an insurance company shouldn’t be one of them.) That’s why we’re committed to supporting the important work of improving your patients’ health, every day.
Scroll down the page to view all of our provider resources and information.
Provider Services Representatives
|Shedeh Hale||Director of Provider Servicesemail@example.com|
|Antionette Sanchez||Albuquerque and the border firstname.lastname@example.org
|Elicia Marquez||All communities in NM except Albuquerqueemail@example.com
(505) 456-2110, ext. 115
|Christine Herman||Credentialing, all firstname.lastname@example.org|
|Victoria Chavez||Credentialing, all email@example.com|
|Provider Services||Contracting, all firstname.lastname@example.org|
Contracting with Us
If contracting with us sounds appealing, let’s do it! Download, complete, and submit our Letter of Interest form.
We update our Provider Handbook throughout the year so you can always find the most up-to-date policies and forms.
Prior Authorization Requests
Learn how to submit prior authorization requests and which services require prior authorization.
Provider Forms & Resources
Download forms you need to serve our members, find healthcare resources and tools, and more.
View our lists of covered drugs for all benefit plans and learn more about our pharmacy programs.
Provider Reimbursement Policy
Learn the details about how we reimburse our contracted providers.