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Phone: 800-274-7526  |  Fax: 1-888-492-1027
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We’re glad you’ve decided to join WholeHealth Networks.

In just a few short clicks, you’ll be ready to enroll in a network that’s committed to growing your practice. Best part – you will work directly with us, so you don’t have to hassle with health insurance. In addition, we have a simple claims process with prompt payment.


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Let’s Get Started!

Follow these easy steps:

1 Download and complete the W-9 form.

2 Download and complete the first page of your state’s contract.

Select your state below to access download:

3 Complete your credentialing.

Do you have your CAQH ID #?

  • If YES, please grant Tivity Health’s WholeHealth Networks, Inc. access to the application.
  • If NO, begin the credentialing process by creating a profile here.
Below is the required information that cannot be left blank in your profile:
      1. DOB, Social Security Number and NPI Number
      2. Practice Location/s: Name, address with phone, fax and Tax ID’s for each location
      3. Liability Insurance: Carrier name, expiration dates and insurance limits.
      4. Work History: The last five (5) years of relevant work history in month/year format and an explanation of any gap greater than six (6) months
      5. Education: Name of all schools and graduation dates
      6. Completed Disclosure Questions: With explanations, if applicable

4 Email your completed and signed forms to whnrecuitment@tivityhealth.com.

 

Questions or Concerns?

Reach out to WholeHealth Networks at:
- Phone: 800-274-7526
- Email: whnrecruitment@tivityhealth.com

Tivity Health and SilverSneakers are registered trademarks of Tivity Health, Inc. WholeHealth Living and the WholeHealth Living logotype are trademarks of Tivity Health, Inc.
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