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Effective January 1, 2023, GlobalHealth’s Commercial membership will be migrated to the GlobalHealth Provider Portal.
Any 2023 information for eligibility, claims, referrals, etc., will be available in the Portal.
GlobalLink™ will continue to be available for a limited time to access historical information for dates of services before 2023.
Basic Information
Provider Demographics
Previous Location

If you are changing practice locations, use the fields below to provide your previous location address.

Add or Change Practice Location

Use this section to provide your new or updated practice location.

"Pay To" Information
Credentialing Information (for matters regarding provider credentialing)
Network and Contracting Information (for matters regarding network and contracting)
Additional Comments
Form Submitted By