JOIN PLATINUM PHYSICIAN ASSOCIATION

Platinum is an Independent Physician Association (IPA) of over 200 primary care and specialist physicians. We would like to add your name to our roster as a Provider!

Platinum IPA has established contracts with PCMH (Patient Centered Medical Home), COMMERCIAL and MEDICARE insurance carriers.

Platinum is an Independent Practice Association (IPA) that offers its physician services to patients through contracts with Major Health Care Plans.

Platinum is committed to providing our physicians with administrative assistance and compliance assistance to meet ACO and HEDIS goals. Platinum IPA is committed to providing competent, cost-effective patient healthcare, and advancing patient care through leadership, innovation and teamwork.

Platinum IPA is a Physician-led, patient focused organization. Platinum provide administrative assistance to our physician’s offices to help the physician comply with PCMH and ACO health plan requirements.

Platinum IPA is at the forefront of integrating physician offices with the many compliances issues that are being implemented by CMS Medicare standards, ACO compliances, as well as PCMH requirements.

Platinum negotiate contracts with health plans that include profit sharing with the physician. This profit sharing income is in addition to the usual physician billed charges. Platinum contracts have no effect on your present contracted fees with the health plans.

There is no membership or application fee.

Attached you will find the signature page of the Platinum’s Provider Participation Agreement.

The entire contract (signature page and body of the contract) has been posted online at:

PLATINUMIPA.COM click on “Contract”.

Please read the entire contract (signature page and body of the contract), sign and return the signature page via FAX: 713-669-9254 or scan and email the signature page to: PLATINUM@PLATINUMIPA.COM.

If you have a CAQH number, please enter it on the signature page. If you do not, please send your credentialing information: Texas Standardized Credentialing Application (revised 01/07), Professional Liability Insurance Policy (coverage page), Texas State Medical License, DEA Certificate, DPS Certificate, CLIA Certificate (if applicable), and your W9. FAX to 713-669-9254.

Sincerely,

Luckett Johnson, M.D. President