Frequently Asked Questions

How can I find a local Provider?

Click on Provider Search in the left navigation to search for providers in your area. You do not need to fill in all of the form fields. Filling in only the zip code will provide a more select number of providers. To broaden your search fill in only the county name.

Is my current Provider in your network?

Click on Provider Search in the left navigation to search for providers. You must type in the correct spelling to locate a specific provider. You are not required to fill in all the fields in the form.

Why is my provider not listed in your network?

There could be several reasons why your provider might not show up in the provider search. Please check for the following and try your search again:

  • Spelling Mistakes Please verify the spelling of your provider's name or location and try again.
  • Too Specific Criteria Please remove some of the criteria to broaden your search.
  • Tip: Try typing a few letters of the provider's name instead of the entire name.

If you still do not see your provider listed, they may not be in our network. Click Nominate a Provider to nominate the provider. This is a simple one-page form. You only need to submit basic contact information about the provider as well your name and contact information. Our contracting staff will contact the provider requesting they join our network.

If there is more than one provider in the office will they all be in the network?

Usually, they will all be covered, but not always. Some medical providers are contracted to Prime Health Services via their practice name or Federal Tax ID Number (TIN). In those cases, all of the doctors or other medical providers are covered. However, medical providers sometimes choose to not participate with us, even though their associates do. The only way to know for sure is to check participation using our Provider Search or to contact Prime Health Services toll free at (866) 348-3887.

Can I enroll my Provider in your network?

Yes. We are continually building our network of providers. Click on Nominate a Provider in the left navigation. Please enter as much information below as you can for the provider you would like to nominate. We will immediately contact the provider.

What should I do if my doctor bills me for the balance of a work-related injury claim?

Contact your work comp insurance company and have them send a brief description of what the provider is disputing, along with the claim and EOR via email to claimdisputes@prime-health.net with "CIRMA Insured Members Employee Claim Dispute" in the subject line. Or they can send a fax to the attention of "CIRMA Insured Members Employee Claim Dispute" at 615-329-4411.

Is Prime Health an insurance company?

No, Prime Health is not an insurance company. We are a national Preferred Provider Network. We are one of the fastest growing PPOs in the country and serving the insurance industry since 1996. Click on About Us in the left navigation to found out more about Prime Health Services.

Is Prime Health Services, Inc. the same company as or related to Prime Health of Mobile, Alabama?

No. Prime Health Services, Inc., a Tennessee based corporation, is not and never has been in any way related to the defunct company known as Prime Health of Alabama which ceased its operations in 2003. They were an HMO, both a carrier and a network. We have always been strictly a PPO network. Click here for more information about Prime Health Services, Inc.