Notice: Effective April 21, 2021, all boroughs in
Alaska are closed to accepting new providers for durable medical equipment
(DME) and freestanding laboratory. We review this semi-annually and will update
this page with changes.
You can request an individual contract or join one of our contracted independent practice associations or medical groups. In either case, you must also meet our credentialing criteria:
View all credentialing forms
The top reasons for incomplete applications include:
View our provider credentialing checklist to make sure your application is complete.
PO Box 327 - MS 263
Seattle, WA 98111-0327
The credentialing process typically takes 60-90 days.
Acceptance is based on your application information and network requirements. If your submitted application is accepted.
For all Premera plans, you can't see members until you're officially credentialed under contract. Also, your malpractice insurance must not expire before credentialing is complete.
For more information about our selection criteria and credentialing standards, contact Physician and Provider Relations.