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Agents / Brokers

We work in partnership with insurance agents, brokers and carriers to provide cost-effective, quality healthcare coverage to employers and groups, ranging from 2 to 20,000 members.  Our extensive network of physicians, health care providers and medical facilities helps employers maximize their plan benefits and gain control of their cost.

Request for Proposal

Agents / Brokers FAQ

Q. What are the ProviDRs Care requirements for network access?+

A. Logo on ID Card, Network Access Fee paid PEPM, Benefit design page, Repricing for all claims, Accurate eligibility for all members

Q. What do you need for a Request for Proposal?+

A. We require a minimum of 10 days’ lead time, and complete the RFP’s in the order we receive them.


RFP’s requests may include:
Disruption Analysis– We require provider names, addresses, Tax ID number, and a listing of the group’s current providers.
Geo Access – Please include a spreadsheet census listing the zip codes for which the access information is requested and the total number of employees.
Savings Analysis – Includes savings percentages for inpatient, outpatient and physician services in a selected service area. If savings analysis requires extensive ad hoc programming, it could take longer to produce.


Or contact our Marketing and Sales department at 1-800-801-9772

Q. How do I find a ProviDRs Care network provider?+

A. Currently, the most convenient way to find a doctor or other health care service providers participating in ProviDRs Care Network is by searching our online provider directory. The electronic provider directory, available 24 hours a day, 7 days a week, includes the most detailed provider information and is constantly updated. You can also call us for assistance in locating a provider at 1-800-801-9772.

Q. What is the Repricing claims turn-around time?+

A. Average turn-around-time is 2 days.

Q. Where do member ID cards come from?+

A. The member ID card is formatted and issued by the insurance company or payor.

Q. What geographical area does ProviDRs Care network cover?+

A. Our providers are located in 104 Kansas Counties, 23 Missouri Counties 8 Oklahoma Counties and 8 Nebraska Counties.

Q. What are the benefits of using ProviDRs Care Network?+

A. Our providers and facilities deliver the maximum benefits of your insurance plan and are continually reviewed to maintain the highest quality care. ProviDRs Care Network conducts its own Utilization Review for many plans, using health care professionals to determine the appropriateness of proposed medical care. This review service leads to cost-effective and quality health care services.

Q. What is (WPPA) ProviDRs Care Network?+

A. WPPA ProviDRS Care Network is a Physician Owned Preferred Provider Organization (PPO). We are a comprehensive statewide network dedicated to delivering high-quality cost effective medical care to covered members.

Q. If a Practice is listed in the directory on the website are all the providers that practice there in-network?+

A. Not necessarily, we contract per provider. Please always check to see if the provider you are seeing is in network by searching on line, or call us at 1-800-801-9772.

Q. How would using a ProviDRs Care Network Provider save me money?+

A. Our providers and facilities deliver the maximum benefits of your insurance plan and are continually reviewed to maintain the highest quality care. ProviDRs Care Network conducts its own Utilization Review for many plans, using health care professionals to determine the appropriateness of proposed medical care. This review service leads to cost-effective and quality health care services.

Q. How do I know if a physician or facility is in the ProviDRs Care Network?+

A. This information is available on our website. Click here to access our online provider directories. You may also verify participation by calling Provider Relations at (316) 683-4111 or (800) 801-9772.

Q. Can I nominate a provider for the ProviDRs Care Network?+

A. Yes, as a member you may  nominate a provider by clicking here.   We will then contact the provider and offer a contract to participate in the network.

Have More Questions? Contact Us