Resource Library

Roster Template for Directory Update

Resource Type
CSV
Category
Provider Network
Last Updated
12/29/2023
Simplify the process of updating the provider directory's information by utilizing the Embright roster template.
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Washington State Health Care Authority Data Share Agreement

Resource Type
PDF
Category
Provider Network
Last Updated
10/17/2023
This Data Share Agreement (DSA) provides the terms and conditions that govern contractual requirements around data sharing and security for your participation in the UMP Plus product.
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Network Participation Request Form

Resource Type
PDF
Category
Provider Network
Last Updated
08/29/2023
Request participation in the Embright network by completing the Request for Network Participation form and then emailing it to providersupport@embright.com.
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Out-of-Network Waiver Form

Resource Type
PDF
Category
Provider Network
Last Updated
06/8/2023
Embright out-of-network request form for your patients who may need to seek care outside of the Embright network due to extenuating circumstances.
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Resource Type
IMAGE
Category
ID Card
Last Updated
05/4/2023
Providers can identify an Embright member based on their ID card.
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Provider Manual

Resource Type
PDF
Category
Manual
Last Updated
05/4/2023
This manual provides information and guidance to Embright’s contracted professional and facility healthcare providers and their staff. It is intended to serve as a resource to our participating groups and staff on administrative, network, measurement, and clinical information.
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Availability of Practitioners

Resource Type
PDF
Category
Policy
Last Updated
05/4/2023
To ensure that Embright maintains a sufficient number and types of primary care, specialty care providers, and behavioral health within its network.
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