PARTICIPATING PROVIDER INFORMATION

The Humboldt IPA is a delegated physician group including non-physician providers for two HMO health plans, and a third-party administrator for local employer PPO health plans. By joining the Humboldt IPA network and becoming a participating provider you will be able to provide care to members of the following current plans:
 Anthem HMO
 Blue Shield HMO
 Blue Lake Rancheria Health Plan – PPO
 Humboldt IPA Employee Assistance Program – EAP

 

To use the packets below, right-click the link and choose “Save as…” and save a copy to your computer. Then browse to the saved location to open the file. If you need a PDF viewer you can download the free Adobe Reader here: https://get.adobe.com/reader/

 

There are two options when applying to become a member of the Humboldt IPA provider panel:
Purchase stock and become a voting member of the organization – Stockholder Physician Application Packet (MD, DO)
or
Contract with the Humboldt IPA through a provider services agreement only – Non-stockholder Physician Application Packet (MD, DO)

Administrative and reimbursement terms are the same for all provider panel members by license.

 

If you have any questions about network participation or stock ownership, please contact us. We look forward to you joining the network and becoming a participating provider with the Humboldt IPA.

Martin Love, CEO

707.443.4563 ext. 15

Rosemary Den Ouden, COO

707.443.4563 ext. 39

Genia Garibaldi, Credentialing Manager

707.443.4563 ext. 34

*Note: If you receive an error stating “To view the flash technology content in this pdf file…”, then please Click Here and choose “Run” to install a version of Adobe’s Flash player that will allow you to open the file.