We’re delighted that you’re considering joining our Tier One network, a community dedicated to transforming healthcare delivery. At High Plains Health Plan, we believe in fostering strong partnerships with healthcare providers to ensure our members receive exceptional, affordable, and accessible care.

As a valued member of our network, you’ll play a pivotal role in enhancing patient outcomes while benefiting from our processes, supportive collaboration, and concierge patient navigation to Tier One providers. This onboarding form is your first step towards a rewarding partnership aimed at reshaping healthcare experiences for the better.

Please fill out the form with your details. If you have any questions or need assistance, our dedicated support team is here to help every step of the way.

Welcome aboard, and thank you for being an integral part of our mission to provide high-quality care to our members.

Please enable JavaScript in your browser to complete this form.
Provider Primary Contact Name
Address
Click or drag files to this area to upload. You can upload up to 10 files.
Please upload your provider roster here. Excel format is preferred. Include: Practice name, name of each provider/clinician, NPI numbers for each, address, phone, taxonomy, TPI, and any other vital information.
Click or drag files to this area to upload. You can upload up to 5 files.
If available, please provide an overview of standard charges for your most common services. Top 50-100 services is sufficient.