General Inquiry

Please review these common requests before submitting this form

JOIN THE NETWORK: Complete the Network Interest Form.

MAKE ADDRESS CHANGES, NEW LOCATIONS, NEW PRACTITIONER (NO CREDENTIALING NEEDED), PRACTITIONER SEPARATION, NAME CHANGES, ETC.: Complete the Provider Updates Form found in Provider Services forms after logging into the Provider Portal.

NEED CREDENTAILING: Complete the appropriate Credentialing Form found in Provider Services forms after logging into the Provider Portal.

BEHAVIORAL HEALTH PROVIDERS: Contact Lucet Health at lucethealth.com/providers or (888) 611-6285

Inquiry Categories