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SelectNet Contract Interest Form

If you wish to have your clinic, facility, or other ancillary medical services considered for Pinnacol’s preferred provider network, SelectNet, please:

  1. Review our provider code of conduct.
  2. Fill out the SelectNet contract interest form below.

Upon receipt of the completed form, our contract specialist will review the information provided. If we have an interest in adding your clinic, facility, or services to our network, you will be contacted. Thank you for your interest in joining SelectNet.

If you are already contracted with Pinnacol and wish to add a new practitioner to your existing contract roster, please contact our credentialing coordinator at or 303-361-4954.

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Denver headquarters

7501 E. Lowry Blvd.
Denver, CO 80230
United States
Lobby hours:
Temporarily closed.

Customer Service
8 a.m.-5 p.m., Monday – Friday, 303.361.4000

En español
: 303.361.4005
Toll-free: 800.873.7242
Fax: 303.361.5000
Toll-free fax: 888.329.2251
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