GHN Providers

Prospective Providers

Guadalupe Healthcare Network continues to work to extend its network of quality healthcare providers, including eligible hospitals, surgery centers, physicians, and physician extenders. To determine if you are eligible to become a participating provider or to begin the application process, contact Brittany Avant at (830) 303-4846.

Provider Benefits

GHN offers a variety of benefits to physicians in south and central Texas, including:

Managed Care Contracting Services via Messengering Model
GHN facilitates managed care contracts using the messenger model system. GHN contracts include terms such as delgated credentialing, prompt payment, payment of claims, clean claims language, payment of medical records, eligibility and authorization clarity and other significant terms that are important to a successful provider's practice. Single group contracting assists with ensuring reasonable referral patterns with other local providers.

As required by the Federal Trade Commission, GHN must use the messenger model system of disseminating fee proposals, as it is a non-integrated group of facilities and physicians.

Delegated Credentialing through Managed Care Plans
GHN has a quality physician credentialing program and has been successful at obtaining delegated credentialing through all of its managed care contracted payers. GHN follows the National Committee for Quality Assurance and State of Texas guidelines for physician credentialing.

Discounts on Malpractice Insurance via Texas Medical Liability Trust
GHN physicians who have TMLT insurance receive additional savings just by being members of our provider network. While TMLT has discontinued its discount program with most provider groups, GHN has been to retain this benefit due to the low loss ratio of its TMLT participating physicians.
GHN-TMTL members may also receive an additional discount for participating in CME credit and practice reviews.

Access to Continuing Education Programs
GHN provides free continuing education programs for its providers. Physicians are able to attend two free TMLT sponsored programs each year. These TMLT seminars qualify for additional malpractice discount credits, ethics and CME credits. Other educational programs are provided to physicians and their office staff as needed or requested. Monthly office manager meetings are also available to inform the office managers of changes in GHN and the local managed care market.

Marketing and Physician Advocacy Services
GHN markets the services of its providers through this website, a physician referral service and special announcements as needed. GHN also assists providers with various issues such as non-routine claims payment.

Facility Benefits
GHN facilitates managed care contracting services for its facility providers. These providers currently include Connally Memorial Medical Center, Guadalupe Regional Medical Center, and Otto Kaiser Memorial Hospital. For information about how GHN may accommodate your facility, call (830) 303-4846.