Become a provider

Download our credentialing policy (PDF) to learn about:

• HAP's credentialing standards requirements and procedures
• Your right to review information obtained from outside sources to support your application
• Your right to correct erroneous information
• Your right to be informed of your application status throughout the credentialing process

Instructions

1. Refer to the email you received from providernetwork@hap.org with the link to the eApply application.
2. Select the link from the email.
3. Select Register.
4. Follow the guidelines below when completing the fields.
   • Usernames must be unique. Use the name of the provider you are enrolling. If you are the enrollment person in your office, do not use your own name.
   • Emails must be unique. Use the name of the provider you are enrolling and their email address (office or personal).
     • johnsmithmd@abcinternalmed.com OR johnsmithmd@gmail.com
     • sallyjonesdo@abcinternalmed.com OR sallyjonesdo@yahoo.com
     • ACBpediatrics@gmailcom
     • smithdme@yahoo.com

Note: The email you enter on the registration pages is only used for registration. In the application, you will be asked for an email address and contact name. We will use that information for communications including enrollment status. That name and email address do not need to be unique.

Password/Username Reset

Forgot Password

1. Go to the eApply home page. Select Forgot your password?
2. Enter the user name you used to register and select Email link.
3. We will email you a link to reset your password. It will be sent to the email you used to register.

Forgot User name

1. Go to the eApply home page and select Forgot your user name?
2. Enter the email you used to register.*
3. We will email you a link to reset your user name. It will be sent to the email you used to register.

*If you forgot the email you used to register, please follow the guidelines below.

Still having trouble accessing eApply?

Please email providernetwork@hap.org and put “eApply Password Reset” and in the email include:

• The name associated with your application (Practitioner, Group, or Facility name).
• Provider NPI.
• The email address you used to register the provider, if available.
• Brief description of the issue. 
  
   

Definition

Groups are a provider entity that is not credentialed separately; however, its related practitioners may require credentialing.

Instructions

1. Click here to review a list of group specialty types.
2. Email providernetwork@hap.org.
3. Put Group Enrollment Request in the subject line.
4. Include the following information:
   1. Tax ID
   2. Type 2 NPI
   3. Type 2 Group Name
   4. Group Specialty Type
   5. Physician Hospital Organization/Physician Organization Name (Please indicate if not affiliated with a PHO/PO)

Next Steps

1. We will review your request and email you the application link.
2. Be sure to refer to the eApply Help Guide below before you register for access.
3. Complete the fields, upload appropriate documents, e-sign the application and submit.
4. We will email you when the enrollment process is complete. Remember, you can’t treat our members until you receive your effective date.

Required Documents 

Click here for a list of required documents (e.g., copies of licenses, liability certificates, etc.)

Downloadable Forms from Required Documents

You can download the form(s) below, complete them and upload them in the application.

• Health Alliance Plan Disclosure of Ownership and Control Interest Form

Help Guide

• eApply Help Guide – Group Application June 2026
   

 Definition

Individual practitioners are type 1 providers— a licensed individual who provides medical or clinical care, such as a physician, nurse practitioner, therapist, or other healthcare professional. They can be credentialed or not credentialed.

Important !

Practitioners must be associated with a Health Alliance Plan participating group type 2 NPI to proceed with enrollment

• Affiliated group not participating with Health Alliance Plan by Henry Ford Health:
  • Please refer to the group drop down and follow the instructions. After you receive notice the group application was completed, you can follow the instructions below.
• Affiliated group already participating with Health Alliance Plan by Henry Ford Health:
  • Please follow the instructions below.

Instructions

1. Email providernetwork@hap.org
2. Put Individual Practitioner Enrollment Request in the subject line
3. Include the following information
   1. Practitioner Name
   2. Type 1 NPI
   3. Tax ID
   4. PO/PHO Name (Please indicate if not affiliated with a physician organization/ physician hospital organization)
   5. Practitioner specialty

Next Steps

1. We will review your request and email you the application link.
2. Be sure to refer to the appropriate eApply Help Guide below before you register for access.
3. Complete the fields, upload appropriate documents, e-sign the application and submit.
4. We will email you when the enrollment process is complete. Remember, you can’t treat our members until you receive your effective date.

Required Documents

Click here for a list of required documents (e.g., copies of licenses, liability certificates, etc.)

Downloadable Forms from Required Documents

• Health Alliance Plan Disclosure of Ownership and Control Interest Form
• Children’s Special Healthcare Services Attestation
• Collaborative Physician Agreement (Nurse Practitioners and Physician Assistants only)

Help Guide

• eApply Help Guide - Individual Practitioner Credentialed June 2026
• eApply Help Guide - Individual Practitioner Not Credentialed June 2026
   

Definition

Facilities are organizations/entities that require credentialing.

Instructions

1. Click here to review a list of facility group specialty types.
2. Email providernetwork@hap.org
3. Put Facility Enrollment Request in the subject line
4. Include the following information
   1. Tax ID
   2. Type 2 NPI
   3. Physician Hospital Organization/Physician Organization Name (Please indicate if not affiliated with a PHO/PO)
   4. Facility Name
   5. Facility specialty type

Next Steps

1. We will review your request and email you the application link.
2. Be sure to refer to the eApply Help Guide below before you register for access
3. Complete the fields, upload appropriate documents, e-sign the application and submit.
4. We will email you when the enrollment process is complete. Remember, you can’t treat our members until you  receive your effective date.

Required Documents 

Click here for a list of required documents (e.g., copies of licenses, liability certificates, etc.)

Downloadable Forms from Required Documents

• Health Alliance Plan Disclosure of Ownership and Control Interest Form
• Children’s Special Healthcare Services Attestation

Help Guide

• eApply Help Guide – Facility Application June 2026
   

Audiology, Hearing, and Vision Providers

To provide hearing aid services for Health Alliance Plan and HAP CareSource members, you must participate with the NationsHearing provider network. If you aren’t participating and would like to join, contact NationsHearing by:

• Phone: (800) 921-4559
• Email: network@nationshearing.com

Vision Providers

Individual and group optometrists and ophthalmologists who want to provide routine vision services for eligible Health Alliance Plan members, must participate with the EyeMed Insight provider network.

• If you’re already in the EyeMed Insight network, there is nothing you need to do.
• If you’re not in the EyeMed Insight network, visit eyemedinfocus.com/join/