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Provider Enrollment & Maintenance

I am a: I want to: I should:
Provider or Independent Practitioner Join the Partners Network Behavioral Health:

Physical Health:
In-Network Provider or Independent Practitioner Request a new site or service Behavioral Health:

Physical Health:
In-Network TCM/PCP Provider Update my panel limits Behavioral Health:

  • TCM Panel Limits
  1. Speak with your Clinical Support Specialist
  2. Submit the Panel Limit Request Form

Physical Health:

  • PCP Panel Limits
  1. Submit the CCH-PCP Change Form
Out of Network Physical Health Provider Agency

 

 

Out of Network Behavioral Health Agency

 Submit claims for Physical Health services or request prior authorization for members.
  • Be referred by Care Management or Provider Services.
  • Refer to the Physical Health OON Guide
  • Contacts:
    • Care Management: 888-235-4673
    • Provider Services Line: 877- 398-4145
Out of Network Crisis Providers Request reimbursement for crisis services Behavioral Health:

Physical Health:

 

Need Help or Have Questions?

Behavioral Health Providers:

Physical Health Providers:

Our Physical Health network is managed by Carolina Complete Health (CCH).

Hospitals:

Visit our Hospitals Working with Partners page for information and enrollment guidance.

Updated: July 30, 2025

Updated: