• Join Our Network

    We're Looking for Qualified Practitioners Who Deliver Quality Care

    Premera Blue Cross is committed to ensuring access to high-quality healthcare through an extensive network of physicians, hospitals and other medical professionals.

    That commitment to quality begins with high-quality providers. To ensure that our physicians and other practitioners are fully qualified, we start with certain basic selection criteria - including a valid license, training appropriate to the profession and acceptable malpractice claims history. We couple that with a rigorous and highly rated credentialing process that verifies your education, employment history and so on.

    Follow the instructions by completing the necessary forms and sending copies of the documents required to apply.

    If you'd like more information about our selection criteria and credentialing standards, please contact Physician and Provider Relations. 

    Benefits of Joining

    Below are some of the benefits of joining the Premera Blue Cross Provider Network:

    • Direct and timely claims payment
    • Increased access to the Premera Blue Cross patient base
    • Promotion through the Premera Blue Cross provider directories
    • Personalized provider relations support
    • Office staff workshops and new clinic orientations
    • Informative newsletters and physician bulletins
    • Access to medical management and disease management programs

    Our Selection Criteria

    • Criteria for joining the Premera Blue Cross Physician and Provider Network includes:
    • Current valid licensure or other authorization to practice
    • Training appropriate to the profession
    • Admitting privileges in good standing at a participating hospital, if applicable
    • DEA certificate, if applicable
    • Acceptable malpractice claims history
    • Acceptable record with applicable disciplinary boards or other regulatory authorities

    The decision whether to accept an applicant is based not only on the information gathered during the application process, but on network requirements as well.

    Our Credentialing Process

    Our credentialing process ensures that the doctors and other practitioners who provide care are fully qualified. We verify each practitioner's education, training and experience. We also check your background, employment history and malpractice history. We use credentialing criteria and standards to determine which healthcare practitioners we select.

    The Premera Blue Cross credentialing program has won high ratings from the National Committee for Quality Assurance (NCQA) and has been continuously accredited since 1996. In addition, the national Blue Cross Blue Shield Association has published the program as an example of a successful credentialing program.

    Under all our plans, physicians and other providers applying for a contract cannot see members under that contract until we credential you. Important: A physician's or provider's malpractice insurance needs to be effective before credentialing can be complete. We will notify you by sending a counter-signed contract and assigning an effective date.

    How to Join

    If you're interested in becoming a Premera healthcare provider, you can request an individual contract or a contract as an affiliate with one of our contracted IPAs/Medical Groups. In either case, you must also meet our credentialing and other criteria.

    If you have questions, or you would like us to send you an application or other forms, please contact Physician and Provider Relations.

    Complete the Washington application, attestation and release forms.

    Send the completed form to along with copies of the following documents:

    • DEA certificate
    • All current state licenses
    • Professional Liability Insurance Certificate
    • Request for Taxpayer Identification Number and Certification
    • Any explanations as required

    If the information submitted in the application is complete, the process typically takes 60 to 90 days. We will assign the effective date for your participation when we have completed the application and credentialing process.

    Washington Dental Provider Credentialing Application 

    Practitioner Application