Adding Providers to Existing Agreements
Adding Providers to Existing Agreements
In order for new providers to receive payment under their Participating Group Agreement during the credentialing process, the following must be adhered to:
- Notify SWHP Provider Relations of new employee (new Group Provider) using SWHP Provider Data Sheet (PDS) - found at www.swhp.org explaining the reason for the request
- Upon receipt of PDS, SWHP Provider Relations will create a legal Certification to add new provider to the existing Group Agreement and forward for signature
- Group Provider will sign Certification and submit it along with a fully completed Texas Standardized Credentialing Application with appropriate attachments (credentialing checklist found at www.swhp.org providers tab (how to become a SWHP provider)
- SWHP Provider Relations will ensure that basic Credentialing guidelines are met (appropriate licensure, board certification, network admitting privileges & all documents are current) and issue a provisional effective date and communicate date to Group Provider (at this time, the Group provider may directly bill SWHP)
- SWHP Provider Relations will send completed Application for processing
- Group Provider acknowledges that the provisional effective date does not guarantee permanent network participation as this is contingent upon successful completion of the SWHP Credentialing process
- Group Provider will be notified by SWHP Credentialing once credentialing is completed.
Please note: for providers leaving a Group, a new agreement will be required.