From: MHHPContracting@memorialhermann.org Sub: Memorial Hermann Health Plan Request to Participate  We are in receipt of Best Health Urgent Care & Clinic’s request to become a participating provider with Memorial Hermann Health Plans and need additional information to proceed with your request.     Please provide the following information:  List of services provided ·         Do you provide Virtual Health Services? Current service area and/or list of locations List of all employed/contracted providers (if applicable) including NPs and PAs (please include individual NPIs) What age population is served? Please list 0-2 years of age; 2-18 years of age; 18+ years Where do you have privileges? Please list all Hospitals, Ambulatory Surgery Centers, etc. Link to website Current W-9 Current quality and outcomes data Any additional information you would like presented to the Network Access and Adequacy Committee    Your participation request will be presented at the next NAAC meeting following receipt of the additional information.     Best Regards,  MHHP Network Contracting