July 16, 2026

Updated Aug. 13, 2026 and Sept. 10, 2026

As a participating provider, you can add new practitioners and service locations to your practice information through our new online Provider Data Intake form.

Through the form, you can:

• Add new practitioners to an existing participating group

• Add new service locations to existing participating facilities or groups

• Save your progress and return later to finish your request

• Upload multiple practitioners or locations using a downloadable roster template

• Track request status in real time

• Access and view previously submitted requests

• Download PDF copies of your requests for recordkeeping and compliance purposes

Follow the instructions for each page and field. They’ll guide you through completing the form. If you have questions, contact your HealthSpring representative.