IntegraNet Medical Management Systems

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New Physicians
We offer complete Credentialing Services.
CREDENTIALING


Doctor and ChildWe require all physicians in the IntegraNet Network to be Texas licensed and credentialed via the NCQA guidelines.

If you are wanting to join IntegraNet for the first time please contact Provider Relations for more information at (281) 447-6800, option 0. If you are a returning physician or a physician who is up for re-credentialing, please fill out the forms below.

For more information, contact Rebecca McAnally, Director of Credentialing, at rmcanally@integranettx.com . Because this email address is being protected from spam bots, you will need Javascript enabled to view it. Or, in the alternative, you may fax the following forms to (281) 447-7813.

Credentialing Application Requirements and Procedures Credentialing Application Requirements and Procedures

Address_and_Tax_ID_change.doc Texas Standardized Credentialing Application - download directly from the Texas Department of Insurance website here.

Integranet Health Plan Affiliation

W9 Form

Address_and_Tax_ID_change.doc Address and Tax ID Change

Address_and_Tax_ID_change.doc IntegraNet Admitting Physicians Designated Agreement Form 8-09

 

 
 
 
 

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