Join Our Network

  • One of the best ways we can serve our customers is by ensuring access to a high quality provider network.

    How to apply

    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:

    • Complete the Alaska medical or dental application, attestation, and release forms
    • Send your completed application with copies of the following documents:
      • Current DEA certificate or coverage plan for the state in which you're practicing
      • All current state licenses
      • Current professional liability insurance certificate
      • Completed W-9
      • Any explanations to “Yes” answers on your credentialing application

    View all credentialing forms

    How to avoid delays

    The top reasons for incomplete applications include:

    • Incomplete address, suite number, or phone number
    • Missing tax ID number
    • Missing W-9s on new contracts
    • Expired malpractice insurance
    • Incomplete or missing work history or education information
    • Hospital privileges, if applicable

    View our provider credentialing checklist to make sure your application is complete.

    Submit by mail, fax, or email

    Mail:
    PO Box 327 - MS 263
    Seattle, WA 98111-0327

    Fax: 425-918-4766

    Email:  Credentialing.Updates@Premera.com

    What happens next

    The credentialing process typically takes 60-90 days.

    Notice: We’re currently working on applications submitted on May 7.

    Acceptance is based on your application information and network requirements. If your submitted application is accepted, you'll receive a contract to review and sign. Once you return your signed contract, you'll receive a counter-signed contract and the effective date of your participation.

    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

    For more information about our selection criteria and credentialing standards, contact Physician and Provider Relations.