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Become an affiliate

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  2. Becoming An Affiliate

Step 1 of 4

Your Personal Information

Payee Name(Required)
Enter the name exactly as it should appear on the check. If the check is to be mailed to an individual other than the Payee, enter the name of the recipient in "Address 1" below
Your Email Address(Required)
Address(Required)
Who is the main contact for this account?(Required)

Need Assistance with Affiliate Questions?

1-855-542-6566

ext. 4025
Mon-Fri | 8AM – 5PM CST

About Assist Health Group

Since 2010, Assist Health Group has offered high quality specialty managed care and disease management solutions through its concierge program. Our services are designed to be customer driven and outcome based.

By focusing on maintaining a high quality of care, providing the best customer and provider service, and building strong relationships with our providers and payors, Assist Health has developed an innovative PPO network solution that provides the benefits for patients, providers and payors.

  1. Home
  2. Becoming An Affiliate

Step 1 of 4

Your Personal Information

Payee Name(Required)
Enter the name exactly as it should appear on the check. If the check is to be mailed to an individual other than the Payee, enter the name of the recipient in "Address 1" below
Your Email Address(Required)
Address(Required)
Who is the main contact for this account?(Required)

Need Assistance with Affiliate Questions?

1-855-542-6566

ext. 4025
Mon-Fri | 8AM – 5PM CST

About Assist Health Group

Since 2010, Assist Health Group has offered high quality specialty managed care and disease management solutions through its concierge program. Our services are designed to be customer driven and outcome based.

By focusing on maintaining a high quality of care, providing the best customer and provider service, and building strong relationships with our providers and payors, Assist Health has developed an innovative PPO network solution that provides the benefits for patients, providers and payors.