Thank you for your interest in joining the myNEXUS Provider Network. We strive to improve Home-Based patient care by operating at the nexus among Health Plans, Providers, and Members.
If you are interested in becoming a part of our rapidly expanding myNEXUS Provider network, please review the contracting steps and resources below or email our Network Development/Contracting Department at email@example.com.
General myNEXUS Frequently Asked Questions
- General myNEXUS Frequently Asked Questions
- Anthem Blue Cross Blue Shield FAQ Frequently Asked Questions
- Blue Cross Blue Shield of Georgia FAQ Frequently Asked Questions
- Empire Blue Cross FAQ Frequently Asked Questions
- Provider Contracting Frequently Asked Questions
Please note that our self-nomination forms do not apply to all providers as we are currently only contracting with Home Health Agencies, Durable/Medical Equipment, and Specialty Pharmacy for Infusion Therapy providers. Additionally, to maintain the highest quality network, we strictly adhere to the following eligibility requirements for consideration in myNEXUS’ Provider network:
In 2017, we will be actively servicing members in the following states, however we accept contracting applications from eligible providers across all States.
Step 1. Submit a Provider Contracting Application
For your convenience, myNEXUS has included several downloadable forms required to initiate the Contracting process. Please download these forms per the checklist below, complete, and return to our Network Development Department at firstname.lastname@example.org or via fax to (615) 988-9947.
Forms and Applications
- Agency Information Form
- Scope of Services – Home Health Agency
- Scope of Services – Home/Durable Medical Equipment Supplier
Service Area Forms
Step 2. Provider Contracting Eligibility Review
After receipt of the General Information forms above, myNEXUS will review your application and determine further eligibility based on network needs, federal/state regulations, quality indicators, and other considerations. Following eligibility review, we will notify the primary contact person (listed under the Agency Information Form) regarding myNEXUS’ determination for continued contracting and next steps.
Step 3. Complete the Credentialing Process
If myNEXUS accepts your Provider Contracting Application, you will need to complete the appropriate Credentialing Application, which myNEXUS will send with your Contracting decision notification. myNEXUS evaluates Provider qualifications based on the National Committee for Quality Assurance (NCQA) requirements.
Ongoing Contracting Needs
If you are an existing myNEXUS Participating Provider and you have questions about your Agreement, please contact our Contracting Department at email@example.com
If you are an existing myNEXUS Participating Provider and need to update any of your Provider Information, including but not limited to Location or Scope of Service Changes, or would like to amend your Agreement, please submit the Provider Contracting Change Form to firstname.lastname@example.org or via fax to ATTN: Provider Network at (615) 988-9947.