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Join HNA

Joining HNA is easy!

 

To get started as a Member of Healthcare Networks of America simply fill out the form below.

Or if you prefer, you can click here to sign up via downloadable form and return with fees by either fax or mail.

 

Mail form to:                                                      Fax form to:

Healthcare Networks of America                   (602) 485-3100

P.O. Box 71717

Phoenix, AZ  85050

 

Join HNA

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
** Please submit secondary locations
 

Malpractice Insurance Carrier

 
 
 

State License

 
 
 

DEA Certificate (Does not apply to D.C.)

 
 
 
(Submit copy of Malpractice, License, and DEA Certificate)
 
 

 
 
  
Verification :: Enter code displayed in the image to the left ...
 
 

 

HEALCARE NETWORKS OF AMERICA

P.O. BOX 71717

PHOENIX, AZ  85050

VOICE:  877.315.3338     FAX:  602.485.3100

WWW.HNA-NET.COM

 

To enroll offline, follow these easy steps:

Step 1:

Complete the downloadable Enrollment Form, and submit with membership fees.  YHou may FAX it to 602-485-3100 or mail in the forms.  If you are a facility download the Facility Enrollment with Agreement Form.

 

Step 2:

A confirmation will be sent to you upon completion with registration instructions for our Members Resource Center.  As part of the HNA membership ALL provider offices are asked to register on-line so that we may communicate updated payer contracts with you.  Registration may be done for each email in your office.

 

Membership has it's privileges.

As an HNA Preferred Provider you recieve complete acess to all that HNA has to offer including:

  • Full credentialing information and online renewals making credentialing simplified
  • Higher reimbursement rates with affilitated health plans
  • Access to Preferred Vendors for special promotional offeres and discounts
  • A resource for Patient Retention and Reputation Management
  • A Member Resouce Center that is unparalleled for pertinent and up-to-date information; full of tools, forms and articles (Members only access)
  • Listing in our Prefered Provider Registry. 
    We have developed this registry to provide
    • Patient referrals
    • Member to member access and referring ease
    • Payers with ease in finding member physicians
  •        

Join Today!