Become a Participating Provider

Thank you for your interest in participating in one or more of our provider networks or health plans! Highly-qualified, independent providers are central to our ability to provide the best care to our members.

If you are interested in becoming a participating provider for the following networks or plans, please complete the Provider Interest Form.

  • Banner Health Network (BHN)
  • Banner Medicare Advantage (BMA), including Banner Health Plan, Inc. (BHP) and Banner Health Insurance Group, Inc. (BHIG)
  • Banner Network Southern Arizona, LLC (BNSA)
  • Banner University Family Care, Inc. (BUFC)
  • Banner University Care Advantage (BUCA)

After you complete the Provider Interest Form, you will receive an email with a link.  That link will provide further direction on the documents that you will need to attach to your Provider Interest Form.  You will have 72 hours to upload the documents before the link expires.   After you have uploaded documents, your Provider Interest Form will be delivered to Provider Contracting for review and consideration.

Please note that completing the Provider Interest Form is not a guarantee that a contract will be offered.

Please allow up to 120 days to receive a response to your Provider Interest Form. For providers in specialties with a Clinical Governance Committee and for behavioral health providers, additional information may be required before a contracting decision can be made.

If you have questions in completing the Provider Interest Form, please email

Please note: At this time, none of our plans or networks are seeking additional providers in the following specialties:

Maricopa County Only

  • Ambulatory Surgery Centers (ASC)
  • Cardiology
  • Hand Surgery
  • Hospice
  • Infertility
  • Oncology
  • Ophthalmology
  • Orthopedics
  • Pain Management
  • Physical Therapy
  • Podiatry
  • Radiology
  • Spine Surgery 

Maricopa, Pinal, and Pima Counties

  • Occupational Therapy
  • Orthotics and Prosthetics
  • Physical Therapy
  • Urgent Care

All Counties

  • Acupuncture
  • Chiropractic
  • Durable Medical Equipment (DME)
  • Outpatient Lab