Join our Network of Professionals

If you are a provider interested in joining Solis' professional provider network, please fillout the short form below and a Solis Network Representative will be in touch with you.

We strongly believe in our mission and in order to stay true to it we are looking to form a strong healthplan-provider partnership that allows for the best in class member service. In doing so, we strive to minimize the administrative burden so that you can focus on providing excellent service to our members.

Provider Enrollment Form

Provider Type

Physician Hospital Ancillary

Contact

First Name:

Last Name:

Email Address:

Phone (digits only):

Ext:

Practitioner

CAQH ID:

Provider NPI:

Email Address:

Phone (digits only):

Ext:

First Name:

Last Name:

Gender:

Location

Name:

Practice NPI:

Practice TaxID:

Physical Address:

Suite / Floor:

City:

State:

County:

Zip Code:

Specialty and Taxonomy

Specialty1:

Taxonomy:

Disclaimer: Submission of the above information is not a guarantee of acceptance into the Solis Health Plans Provider Network.

Last Updated: July 23^rd, 2018 | H0982_Website_Pending CMS Approval.