Community ProHealth

Provider relations

New! Provider portal

Look up member claims, eligibility and more. 5/10/13: The provider portal is currently undergoing maintenance. Please check back for updates.

Contact provider relations

Phone: 317-621-7581
Fax: 317-621-7470

Find a ProHealth staff member below:

Name

Title

E-mail

Judy Director E-mail Judy
Carol T. Provider enrollment and credentialing manager E-mail Carol
Salena Manager of Medicaid services E-mail Salena
Kim A. Provider relations coordinator E-mail Kim
Carol B. Provider relations coordinator E-mail Carol
Hollie Provider relations coordinator E-mail Hollie
Jenny Credentialing and contracting E-mail Jenny
Kim T. Credentialing and contracting E-mail Kim
Carmela Credentialing coordinator E-mail Carmela
Sue Recredentialing E-mail Sue
Denise Behavioral care services credentialing E-mail Denise

Provider forms and information

About ProHealth Network

ProHealth inservice 2011

Download manual >>

Print and fill out the following forms and submit them to our office:

Provider directories

HealthMark

HealthChoice/HealthCore

ADVANTAGE Health Solutions HMO & POS

ADVANTAGE Preferred Network HMO (Medicare)

Pharmacy

Fee schedule information

Provider newsletters

2013

Jan | Feb | March | April

2012

Jan | Feb | Feb/MarchApril | May | June | July/August | Sept | Oct | Nov | Dec

2011

Jan | Feb | March | April | May | June | July | Sept (Vol I / Vol II) | Oct | Nov | Dec (Vol I / Vol II)

2010

Jan | Feb | March | April | May | June | July | Sept (Vol I / Vol II) | Oct | Dec (Vol I: Medicaid special edition / Vol II)

2009

June (Vol I / Vol II)| July | Aug | Sept | Oct | Nov | Dec

Payer information

Please note: Not all ProHealth providers participate in all plans.

Credentialing information

To become a participating provider with Indiana ProHealth Network you must have a completed and up-to-date CAQH application. If you would like ProHealth to obtain this application for you, please complete the CAQH Provider Data Sheet. Otherwise, please see the CAQH website for additional information at www.caqh.org.

Credentialing requirements checklist:

Proud sponsors

  • Indiana Fever
  • Indianapolis Indians
  • Indiana Pacers

Health and wellness shopping

  • Home Health Medical online store for medical supplies and equipment
  • Wellspring Pharmacy
  • FigLeaf Boutique
  • Jasmine gift shop