Privacy Policy

Privacy Policy

Who we are

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Suggested text: When visitors leave comments on the site we collect the data shown in the comments form, and also the visitor’s IP address and browser user agent string to help spam detection.

An anonymized string created from your email address (also called a hash) may be provided to the Gravatar service to see if you are using it. The Gravatar service privacy policy is available here: After approval of your comment, your profile picture is visible to the public in the context of your comment.


Suggested text: If you upload images to the website, you should avoid uploading images with embedded location data (EXIF GPS) included. Visitors to the website can download and extract any location data from images on the website.


Suggested text: If you leave a comment on our site you may opt-in to saving your name, email address and website in cookies. These are for your convenience so that you do not have to fill in your details again when you leave another comment. These cookies will last for one year.

If you visit our login page, we will set a temporary cookie to determine if your browser accepts cookies. This cookie contains no personal data and is discarded when you close your browser.

When you log in, we will also set up several cookies to save your login information and your screen display choices. Login cookies last for two days, and screen options cookies last for a year. If you select "Remember Me", your login will persist for two weeks. If you log out of your account, the login cookies will be removed.

If you edit or publish an article, an additional cookie will be saved in your browser. This cookie includes no personal data and simply indicates the post ID of the article you just edited. It expires after 1 day.

Embedded content from other websites

Suggested text: Articles on this site may include embedded content (e.g. videos, images, articles, etc.). Embedded content from other websites behaves in the exact same way as if the visitor has visited the other website.

These websites may collect data about you, use cookies, embed additional third-party tracking, and monitor your interaction with that embedded content, including tracking your interaction with the embedded content if you have an account and are logged in to that website.

Who we share your data with

Suggested text: If you request a password reset, your IP address will be included in the reset email.

How long we retain your data

Suggested text: If you leave a comment, the comment and its metadata are retained indefinitely. This is so we can recognize and approve any follow-up comments automatically instead of holding them in a moderation queue.

For users that register on our website (if any), we also store the personal information they provide in their user profile. All users can see, edit, or delete their personal information at any time (except they cannot change their username). Website administrators can also see and edit that information.

What rights you have over your data

Suggested text: If you have an account on this site, or have left comments, you can request to receive an exported file of the personal data we hold about you, including any data you have provided to us. You can also request that we erase any personal data we hold about you. This does not include any data we are obliged to keep for administrative, legal, or security purposes.

Where your data is sent

Suggested text: Visitor comments may be checked through an automated spam detection service.

Employer Services Offered Through Participation with Western Providers

Employers who opt for self-funding enjoy the following advantages:

• Claims Process and Administrative Services Flexibility
• Plan Cost and Utilization Control
• Improved Cash Flow
• Choice of Service Providers – can limit the size/composition of the panel
• Flexibility in Plan Design
• Elimination of Carrier Profit Margins
• Lower Operating Costs
• No Medical Loss Ratio Requirements
• Uniform Regulations through ERISA

Physician Membership

Physicians (MD and DO) are eligible for membership (ownership)

in Western Providers Physician Organization

  • Membership advantages include:
  • Vote in corporate business
  • Eligibility for Board membership
  • Favorable treatment in certain provider panels
  • Risk/Surplus profit opportunity for some health plans
  • Eligibility for membership is determined by the Board
  • Membership remains with the physician identified, and may be transferred with Board permission if the physician retires, dies or permanently leaves the service area

Western Providers, Inc.’s network serves leading health plans including Aetna, Corvel, Humana, and Monument Health. By joining the Western Providers network, you invest in the future of quality health care that meets the needs of your patients and your practice.

Revenue and Expenses

Western Providers, Inc. obtains its revenue from access fees paid by its clients, the health plans it serves. Expenses include administrative operating costs, insurance and legal fees.

Western Providers, Inc. pays the expenses related to our provider rate setting methodology, known as the “messenger model”, as part of its services for client health plans.
Western Providers Physician Organization is owned by its physician members. WPPO obtains its revenue from membership and contractor fees paid by the panel of providers, as well as fees it provides for certain consultative, risk management and administrative services. Its expenses include administrative operating costs, costs related to credentialing of providers, insurance and legal fees.

How We Are Managed

A governing board of 12 directors guides company policy.

The Board consists of...

  • 6 directors of Western Providers Physician Organization
  • 2 administrative officers of Monument Health, Inc.
  • 4 directors selected by Monument Health

A chief executive officer provides strategic planning and oversees operations of the company.

What We Do

Services include...

  • Credentialing, all clinical providers – NCQA Certified in Credentialing
  • Western Providers is delegated for provider credentialing for all clients (payers) – providers submit one credentialing application and Western Providers Credentialing Committee approval satisfies the credentialing requirements for all clients/payers
  • Monthly, on-going quality measures, reports and statistical analyses are used to monitor the quality of the entire Western Providers panel
  • Network Development, on a payer specific basis for
  • ERISA self-insured health plans
  • Insured health plans
  • Preferred Provider Organizations (PPO’s)
  • Web site: Payer specific provider networks
  • Pricing
  • Messenger model (fee-for-service)
  • Shared Savings model
  • Primary Care Capitation model
  • Compensation Models
  • Discounted fee for service
  • Relative Value Scale
  • Inpatient DRG’s
  • Shared Savings
  • Primary care risk model
  • Provider Education
  • Western Providers provides email alerts and updates from specific clients/payers as Western Providers is notified of client/payer process changes
  • Credentialing
  • Credentialing is conducted with the assistance of an independent credential verification organization that performs primary source documentation. Providers must undergo review and approval by the Western Providers Credentialing Committee. The credentialing/re-credentialing process is conducted in a non-discriminatory manner; credentialing decisions are not made on the basis of an applicant’s race, ethnic/national identity, gender, age, sexual orientation, or the type of procedure or patient (e.g., Medicaid) in which the practitioner specializes, but solely on the criteria referenced by this policy and associated procedures. Western Providers reserves the right to limit participation in the WPPO panel to specialties and number of practitioners needed to ensure an appropriate panel and to limit to practitioners willing to adhere to WPPO requirements.
  • Cost Management
  • Messenger Model – For employer self-funded health plans, the provider network is developed through a legally qualified “messenger model”, an independent pricing process designed to obtain competitive provider costs.
  • Risk-based products – For some health plans, both employer self-funded and insured, a Western Providers panel is developed using capitation or other financing approaches that provide incentives for physicians and hospitals to manage costs
  • Population Health Management