Behavioral Health Provider Resources

Premera can’t advise providers on billing and coding. You can consult with other providers in your community or talk to a behavioral health medical billing specialist.

If you have questions about claims, sign in to Availity.

Sign in and view our telehealth/telemedicine services payment policy. 

Claims can be submitted to Premera through Availity for free using Premera plans as a payer through Availity Essentials. Select Claims & Payments > Claims & Encounters to submit a professional or facility claim. Refer to our provider reference manual for more details on claim submission and payment.

You’ll find all the credentialing forms and information you need on the Join our Network page. Email completed documents and W-9 to provider.relations@premera.com.

Providers must complete a re-credentialing packet every 3 years. If this isn’t submitted in a timely manner, it puts the contract at risk for termination. 

You’ll receive a letter as soon as your application is approved. Your acceptance is based on complete application information and network requirements. The credentialing process may take 30-45 days to complete.

Note: If it has been over 30 days from the date you submitted your completed credentialing application through ProviderSource, you can:

• email the credentialing team for credentialing status or
• email the provider relations team for contracting status.

Visit the Update Provider Information web page to learn about verifying your provider directory information with Quest Analytics’ BetterDoctor. You must complete a quarterly review to remain listed in our provider directory. 

It’s important that your patients (and potential new patients) know how to find you. If you have any changes to your practice, you can email us at provider.relations@premera.com or fax us a completed provider update form.

Send us an email to verify the provider’s credentialing status with Premera.

• If the provider is already credentialed with Premera, you may submit a provider update form requesting to add the provider to your contract.
  
  
• If the provider isn’t credentialed with Premera, view the Join Our Network page to see how to submit credentialing documents.

If you’re a contracted provider who moves out of our Washington and Alaska service areas, please be aware that your contract will terminate, and you’ll no longer be considered an in-network provider. This is the case even if you’re simply offering telehealth services to our Alaska Premera members.

If you’re planning to move out of our service area and you have questions about your contract or network status, send us an email.

Premera (or a vendor on Premera’s behalf) may request medical records for HEDIS^® or commercial risk adjustment purposes. As a contracted provider, you’re responsible for providing these records to Premera in a timely manner.

Use this sample template for the confidential exchange of information between medical and behavioral health providers.