Provider Participation Request
Health Choices contracts with physicians and providers to provide services to our members that reside in Iowa, Nebraska, Illinois, and Wisconsin. If you are interested in participating in our provider network, please fill out the form and a Health Choices representative will contact you once the request has been reviewed. The review process could take up to 30 days depending on scheduling. If you do not receive a response after 30 days, please send an e-mail to firstname.lastname@example.org to request an update on your request.