Sunflower Health Plan- Credentialing Data Form Updated Online

 

CAQH Data Form Revised

The CAQH Data Form on the Sunflower Health Plan website has been revised. A CLIA certificate is not required to accompany the CAQH Data Form. To add practitioners, please complete the information requested on the CAQH Data Form and submit to: providerrelations@sunflowerstatehealth.com

This form is for practitioners registered on the CAQH. Only provide information for one practitioner per CAQH Provider Data Form.

Related web links:

• CAQH Provider Data Form: http://www.sunflowerhealthplan.com/files/2014/05/Sunflower-CAQH-Data-Form-and-Instructions-REVISED-5-22-2014.pdf
• Provider Credentialing Resources Page: http://www.sunflowerhealthplan.com/for-providers/provider-resources/credentialing-materials/


Thank you for your attention to this new form. In addition to using the email address above, you may call your provider representative directly or call the Customer Service Center in Lenexa for assistance at 1-877-644-4623