For all behavioral health providers who are new to Premera, learn how to join our network.
See all of the answers to our most commonly asked questions on applied behavior analysis (ABA).
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.
You can submit your claims to Premera electronically by signing up with Office Ally, a free full-service clearinghouse. 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 firstname.lastname@example.org.
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:
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 email@example.com or fax us a completed provider update form.
Send us an email to verify the provider’s credentialing status with Premera.
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.
Check out our provider learning center for new staff training and handy online tool tips.