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Providers / Physicians

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 Services
Antionette Sanchez Albuquerque and the border communities
(505) 492-2073
Elicia Marquez All communities in NM except Albuquerque
(505) 456-2110, ext. 115
Christine Herman Credentialing, all locations
Victoria Chavez Credentialing, all locations
Provider Services Contracting, all locations

Contracting with Us

If contracting with us sounds appealing, let’s do it! Download, complete, and submit our Letter of Interest form.

Provider Handbook

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.

Pharmacy/ Formulary

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.