*Only providers Participating with Westshore Health Network can request this information*
Upon request, Westshore Health Network (WHN) can provide your practice with fee schedule information. Familiarity of the plan's fees will assist your practice with reimbursement management and ensure your practice is receiving the contracted rate negotiated by WHN.
Please complete the form below and allow 5-7 business days to process your request. If you have any questions please contact WHN at 231-672-3882.
* Required Fields
*Date of Request:
*Name:
*Practice:
*Specialty:
*Contact Name:
*Phone:
*Fax:
*E-mail Address
Preferred Method of Delivery:
Fax Email
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