Provider Relations

We are keenly aware that, to provide exceptional access and quality of health care to our members, it is essential that our providers and their staff have a solid understanding of the members’ needs, our contract requirements and other protocols, as well as applicable contract standards and Federal or State regulations.

Within 30 calendar days of successful completion of provider credentialing and approval to participate in our network, our Provider Relations Department provides introductory training to the providers and their office staff. The Provider Manual is delivered and reviewed in detail at this on-site orientation. This provider training familiarizes new providers and their staff with Unison’s policies and procedures.

Each participating provider will be assigned a Provider Relations Representative, who is responsible for ongoing education in their assigned Service Region. As a follow-up to the initial orientation session, the assigned Provider Services Representative regularly contacts each provider and their staff to ensure that they fully understand the responsibilities outlined in the Provider Agreements and Manual.