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.
Request an individual contract or join one of our contracted independent practice associations or medical groups and make sure you meet our credentialing criteria and standards.
Submit your credentialing application through OneHealthPort’s ProviderSource. If you're unable to submit through ProviderSource, use our hard-copy credentialing application. Use our provider credentialing checklist to make sure you've submitted all necessary information.
After completing your credentialing application through ProviderSource, check the application box indicating that you’re applying for participation with Premera. Important: Make sure the attestation date on your provider application is within 150 days from when you submit your application.
For dental and facility providersDental provider application - Request to join our dental networkOrganization/facility credentialing/recredentialing application - Request to join our provider network as a facility
All applicants need to email us at email@example.com to tell us you’ve completed your credentialing application and remember to attach the following completed documents:
You’ll receive a confirmation email from Premera that says we’ve received your request.
The top reasons for incomplete applications include:
The credentialing process typically takes 30-45 days and 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.
Visit our Learning Center to learn more about the digital tools and resources you'll have access to a a credentialed Premera provider.