Welcome to Physician Performance!

The majority of your enrollment needs can be handled electronically. Please choose from one of the options below in order to add, change or terminate any providers within your group, or add/change/terminate a group.

Initial enrollment steps include:

application for medical staff privileges at a BILH hospital
Membership application
Health plan enrollment forms

If approved for membership, enrollment forms are submitted to the health plans for processing, which can take 90-120 days.

membership forms

New to Physician performance or adding a physician to a group already participating

If you are a practice wishing to join Physician Performance, or already participate but want to add new physicians or APPs, please click the link below and an Operations Administrator will be in contact with you regarding next steps.

click to email us

to Change information or terminate a physician from your group

New to Physician performance or adding a physician to a group already participating

Use this form to change demographic, non-demographic information or terminate a physician from Physician Performance who is no longer a part of your group. We have also posted files to help you update CAQH with new information.

Learn more

form to make changes or terminate a physiciaN

Please fill out the attached form to make any changes or to terminate a physician from participation in your group.

Demographic and Non-demographic changes can include the following:

adding a practice address that is new to your organization,
adding or changing your TIN,
changing the scope of services provided at your practice, or
changing the status of a physician between PCP and specialist

PPLLC ChangeTerm Form 7.30.2025 (pdf)

Download

Welcome to Physician Performance!

membership forms

New to Physician performance or adding a physician to a group already participating

New to Physician performance or adding a physician to a group already participating

New to Physician performance or adding a physician to a group already participating

to Change information or terminate a physician from your group

New to Physician performance or adding a physician to a group already participating

New to Physician performance or adding a physician to a group already participating

form to make changes or terminate a physiciaN

CAQH Overview