Join Our Network

How to apply

To apply, you can request an individual contract or join one of our contracted independent practice associations or medical groups once you meet our credentialing criteria and standards.

Submit your application through the new vendor, Council for Affordable Quality Healthcare (CAQH). Use our provider credentialing checklist to make sure you've submitted all necessary information.

How to get ready for the CAQH credentialing changes

• Make sure you have a current account with CAQH. If you’re not sure, call 888-599-1771 to avoid creating a duplicate account. If you do have a CAQH account, attest to your credentialing information (if beyond 120 days) by signing in to CAQH.
• Register with CAQH if you don’t have an account. Go to the bottom of the page and select “If you are a first-time user, register here.”
• Identify Premera as a health plan that can access your application or indicate global authorization. If access isn’t granted through CAQH, we can’t retrieve and process your application.
• For training resources, visit the CAQH training portal. Registration is required to access training resources.

New CertifyOS vendor makes credentialing verification faster

Starting March 2025, Premera will also partner with CertifyOS to handle credentialing application verifications and ongoing monitoring. CertifyOS is certified by the National Committee for Quality Assurance (NCQA) as a credentialing verification organization. CertifyOS may contact you on our behalf if additional information is needed during the credentialing process. This collaboration aims make the credentialing process much faster and less of an administrative burden for providers.

For organization/facility providers

Request to join our provider network as a facility by completing the facility application form.

Send us a completion email

After you submit your completed application through CAQH, send us a completion email  so that we know it was submitted. If you're a behavioral health professional, attach the behavioral health specialty addendum to the email. You’ll receive a confirmation email from Premera that says we’ve received your request. If you don't receive a Premera-automated email response, please make sure you've entered the correct email address.

You’ll receive a confirmation email from Premera that says we’ve received your request. If you don't receive a Premera-automated email response, please make sure you've entered the correct email address.

How to avoid delays

The top reasons for incomplete applications include the following:

• Premera not added as an authorized agency to access the CAQH application
• CAQH application not complete and attested within 90 days
• Missing SS-4 (EIN) on new contracts
• Incomplete address, suite number, or phone number
• Missing work history or education information
• Hospital privileges, if applicable

Provider update - Email this form to Premera with new information or changes to your current practice or payment structure. The federal No Surprises Act requires health plans to verify all provider directory data every 90 days. It also requires all providers and facilities to submit this information to in-network plans. Unverified providers may be removed from our directory.

To request a new contract, please email us the following information. Note that you must reside in Washington state to be credentialed with Premera.

• Copy of the SS-4 or 147c letter from the IRS
• DBA name
• TIN
• Address (location, remit/mail)
• Phone number
• Fax number
• Email (for sending your contract through DocuSign)
• Practitioner name(s) and NPI(s)
• Name of the business owner(s)
• Effective date

Note: You must reside in the state of Washington to be credentialed with Premera.

You will receive an email from our contracting department in the next 45 to 60 business days to review, sign, and return all documents through DocuSign. If we do not receive the signed documents within 30 days from the date the contract is emailed to you, we will close your request.

The contract will not be effective until countersigned by Premera. You will receive a countersigned copy that includes your contract effective date for your records.

Request a copy of your contract

If you need a copy of your contract, send us an email request that includes your contract name (full legal name as reported to the IRS), tax identification number (TIN), and your relationship to the provider. Once received, we’ll send your contract as an email attachment. Please note this email is only for requesting contract copies.

Credentialing verifications

Starting March 2025, Premera will also partner with CertifyOS, a National Committee for Quality Assurance-certified Credentialing Verification Organization, to handle credentialing application verifications and ongoing monitoring. CertifyOS may contact you on Premera’s behalf if additional information is needed from you during the credentialing process. This collaboration aims to streamline and expedite the credentialing process for providers.

Availity

Premera uses Availity as its primary secure portal. Sign in to Availity or register for training. View our Availity provider FAQ for more details.

Our learning center is a great resource for provider training and information, including the following:

• Guides for using our individual plans
• Provider workshop information and recordings
• Continuing medical education resources for health equity
• Network and ID card guides
• Coding resources

Check out the learning center today.

It’s important to keep up with the latest Premera news and policy updates. Premera Provider News is the primary way we communicate with our contracted provider offices.

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Our contact us page gives you all the Premera contact information you need.