IntegraNet

IntegraNet Medical Management Systems

New Physicians
We offer complete Credentialing Services.

INTEGRANET HEALTH PLAN AFFILIATIONS

You can fill out the form below or download it at Integranet Health Plan Affiliations.

Full Name:		Date:
Phone:		Email:
Address:
Electronic Signature:


Please indicate below the Health Plan affiliations of your choice:

1. BRAVO! Health of Texas (Medicare Advantage Plans): Yes No

2. WellCare of Texas, Inc. (Medicare Advantage Plans): Yes No

3. United HealthCare
	a. Texas STAR (formerly Evercare Star): Yes No
	b. Texas CHIP (formerly UTMB CHIP): Yes No

4. Evercare of Texas:
	a. Evercare Star +Plus (Medicaid HMO): Yes No
	b. Evercare DH and MH (Medicare Advantage Plans): Yes No


5. Community Health Choice (CHC) STAR (Medicaid HMO): Yes No



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