Join Our Network Form
If you are a non-contracted provider, please select the “Join Our Network” tab to begin your request. (See “Join Our Network Form” reference below)
To update your existing demographic information (address, email, telephone number, etc.) visit the Contact Us page.
To add practitioners to your participating location, download the required forms listed below and submit to IHPAContracting@EnvolveHealth.com.
If you have other questions regarding your IHPA contract call us toll free at 1-844-298-6981 or email us at IHPAContracting@EnvolveHealth.com.
Disclaimer: Your request for participation is not a guarantee of Contract. The information you provide is used by the Illinois Health Practice Alliance to evaluate the offering of a contract and is not representative of an application or a legal agreement. Requests are processed in the order they are received. Reviews will be performed within one (1) business week. A member of our team will contact you to relay if a decision is made to move forward with the contracting process within your region.
If you are not contracted with Illinois Health Practice Alliance, complete the Network Participation Request Form below.
* Required Fields
If you have other questions regarding your IHPA contract email us at IHPAContracting@EnvolveHealth.com.