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Join Our Network
Thank you for your interest and participation in Banner – University Health Plan’s (B – UHP) Network. We are committed to maximizing the member and provider experience in meaningful ways.
Please use the guide below to assist your practice or care organization to become a participating provider and provide guidance during and after the contracting process.
AzAHP Facility and Practitioner Forms
Obtain AzAHP forms below.
*Submit forms only after AHCCCS Registration is completed.
Providers seeking a contract should submit AzAHP forms to Provider Contracting:
Email AzAHP forms to:UAHNContractingMailbox@bannerhealth.com
Please allow 180 days before requesting status.
Behavioral Health providers should include a summary description of programs, including target populations and age categories, specific models of care/therapies used, along with frequency of programming treatment.
Contract-related Inquiries and Contract Status:
Email: UAHNContractingMailbox@bannerhealth.com
Please include the name of your organization and tax identification number in your email.
Providers with an existing contract requesting a termination or change to a practitioner or location should submit their request in writing. An AzAHP form is not required.
Please submit requests to: BUHPDataTeam@bannerhealth.com
Please submit an updated facility and provider roster with current AHCCCS-registered locations and providers with their NPI(s) and TIN(s).
Providers with an existing contract requesting to add a new practitioner to their contract should submit an AzAHP form.
All practitioners must be registered with CAQH. The primary contact information in CAQH must be current to avoid credentialing delays. Practitioners must also re-attest to the validity of their information quarterly.
Related Documents
Instructions for Submitting Information with the Letter of Interest (For Behavioral Health Providers)
Tips and FAQs
- Register with AHCCCS Administration as a provider for AHCCCS and maintain it throughout the term of this agreement. B – UHP is not responsible for payment to non-registered providers. Follow all terms of your contract and adhere to B – UHP’s Provider Manual and Behavioral Health Manual, when applicable. The Provider Manuals are located at https://www.banneruhp.com.
- Notify B – UHP Provider Contracting at least 30 days before the effective date of any changes in tax identification number, services, the organization’s legal name change, or any requested changes to your contract.
- B – UHP will return the executed contract once the signed contract is completely loaded in B – UHP systems.
- Please note that submission of an AzAHP form does not guarantee that a provider contract will be offered to your practice or organization.
Q. How do I know if I am currently contracted with Banner – University Health Plan (B – UHP)?
A. Contracted providers are given a copy of their contract after completion of credentialing and loading into B – UHP systems. If you need a copy of your contract, please email UAHNContractingMailbox@bannerhealth.com. Include the name of your organization and tax identification number in your email.
Q. How long does the B – UHP credentialing process take?
A. Once a complete clean AzAHP form is received, the credentialing process and loading into systems can take up to 60 days.