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How to Join our Provider or Pharmacy Networks

Thank you for your interest in becoming a participating provider with Independent Health.

To join our network of providers (physicians, independent nurse practitioner, advanced practice provider or ancillary provider), please see the section “Join our Provider Network

To join our network of pharmacies, please see the section “Join our Pharmacy Networks

Please complete the following steps to begin the process for Independent Health to consider your participation in our networks.

Join Our Provider Network

Step 1

Download and complete the Provider Application Request Form. E-mail the completed form to

Please note: the Provider Application Request Form is not the application for participation. Independent Health will evaluate your request for a Provider Application based on our network needs.

If Independent Health accepts your request for an application, please follow Step 2.


Step 2

Register/Update with The Council for Affordable Quality Healthcare (CAQH). You will have to list Independent Health as an authorized viewer online with CAQH.

If you do not have your CAQH ID, call CAQH at 1-888-599-1771.

Once you have completed your registration and have listed Independent Health as an authorized viewer, Independent Health will begin the credentialing process.

Independent Health credentials these Health Care Professionals:
Physicians (MD,DO), Nurse Practitioners (NP), Physician Assistants (PA), Licensed Nurse Midwives (LNM), Certified Registered Nurse Anesthetists (CRNA), Independent Nurse Practitioners (INP), Licensed Certified Social Workers (LCSW-R), Physical Therapists (PT), Occupational Therapists (OT), Speech Language Pathologists (SLP), Registered Dietitians (RD), Optometrists (OD), Psychologists (PhD), Audiologists (AUD), Licensed Dentists (DDS), Chiropractors (DC), Podiatrists (DPM), Licensed Behavior Analyst (LBA), and Certified Behavior Analyst Assistants (CBAA)..


  • Incomplete applications will delay the processing time.
  • You may not provide services to Independent Health members until you are credentialed and all appropriate contracts are fully executed.


Join our Pharmacy Network

Independent Health and Pharmacy Benefit Dimensions (its wholly owned subsidiary) invite pharmacies to apply to join our networks. Pharmacy Benefit Dimensions (PBD) administers Independent Health’s pharmacy benefits, including network administration.

To become a participating pharmacy in Independent Health’s networks, complete the application that pertains to your type of pharmacy: 

Return the completed application to

The credentialing and contracting process takes approximately two to four weeks.