Peoples Health administers the following Medicare Advantage health plans:
With the assistance of Gilsbar, a third-party company, Peoples Health also administers PHN Employee Plan, a commercial plan for Peoples Health employees and their dependents:
Members of our Medicare plans can receive covered services from providers in the Peoples Health provider network. Members of PHN Employee Plan can received covered services from providers in the PHN Employee Plan provider network. Those in our Peoples Health Group Medicare plans and PHN Employee Plan may also access covered services out of network.
Visit our online provider search tools page to learn more about providers in the network for our Medicare plans.
Visit our employee benefits page to learn more about providers in the network for PHN Employee Plan.
Providers interested in contracting with Peoples Health should complete a provider application.
Current Peoples Health network providers should email contracting questions or requests to firstname.lastname@example.org. We will direct your inquiry to the appropriate representative, who will contact you regarding your request. You can also contact your provider representative for assistance.
You should have received a response within 30 days of submitting your application. If your application was submitted more than 30 days ago and you have not been contacted by phone or letter, please email us at email@example.com. Please include the contact name and provider type on the application.
Since we are not able to process your application without a Medicare number, you must wait until you are assigned a Medicare number before you submit an application. Our online provider application requires that you include this information.
Yes, you will need to submit a curriculum vitae for each provider at your practice or facility who is interested in contracting with Peoples Health. In addition, you will need to have several pieces of information handy to complete the form, including your Medicare and TIN numbers, as well as your Medicaid and CAQH numbers if applicable. Please review the instructions under the provider application link for all the information you will need.
A Peoples Health contracting specialist will contact you in the near future to deliver a contract for your review.
Yes, please call 504-849-4500, 225-346-6380 or 1-800-631-8443 between 8 a.m. and 5 p.m., Monday through Friday. If your inquiry is about a physician application, ask to speak with our physician contracting manager. If your inquiry is about an ancillary or hospital facility application, ask to speak with our director of network development administration and ancillary contracting.
Yes, you may reapply after 12 months have passed.