Provider Support

It is our goal to supply our partners and providers with the latest information about HCAP. If there are additional tools and resources that would assist you on this website, please let us know.

How to Become a Provider

If you are a provider interested in participating in HCAP, please contact our office at (989) 891-8820. We will be glad to answer any questions you may have. In addition to completing and submitting the appropriate forms below, you will also be asked to sign a participation agreement outlining responsibilities and expectations.  

Click on the following links for access to the latest HCAP Provider forms in Adobe PDF format:

HCAP Provider (All Levels) Information Form

Ancilliary/Group Information Form 

Additional Resources


HCAP is committed to helping you maximize financial incentives and other benefits for which you may be eligible as a result of your enrollment in the Consortium of Independent Physician Associations (CIPA). For details regarding member resources, click here. If you have specific questions, please contact your CIPA consultant:

Jamie Conklin:  

Debbie Rozanski:

Margaret Kucinski:  

HAP Will Not be Operating through HCAP as of October 1, 2016 

As of October 1, 2016, HAP will no longer be operating through our Health Care Alliance Pool (HCAP) network lease agreement. For HCAP participants, this change will not affect your patients who are covered under ASR or Meritain through our agreement. HCAP would like to sincerely thank you for your participation over the years and we will strive to continue providing caring and prompt service regarding your ASR and Meritain covered patients. HCAP is a not-for-profit organization created over 20 years ago to help keep healthcare coverage affordable and our mission remains the same.

If you wish to continue seeing patients who are covered under HAP and Cigna, you were directed to complete a HAP contract, credentialing and participation agreement requirements before September 2, 2016. If you have not received the documents from HAP already, contact HAP representative Kurnia Brown at (313) 664-8587.

If you would like to utilize Adobe Reader, click the icon below to download it:

315 Mulholland Street
Bay City, Michigan 48708
Phone: (989) 891-8820
Fax: (989) 891-8161


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