Mobile Crisis Response

• You’ll find all the credentialing forms and information you need on our Join our Network page. All new applicants need to complete an organization/facility credentialing/re-credentialing application.
• All applicants need to email us at credentialing.updates@premera.com to tell us you’ve completed your credentialing application.
• Credentialing occurs at the agency level. Practitioners are not credentialed individually.

• You’ll receive a letter as soon as your application is approved. Your acceptance is based on complete application information and meeting the network requirements. The credentialing process may take up to 45 days to complete.
• Note: If it has been over 45 days from the date you submitted your application through ProviderSource, you can contact us by email at credentialing.updates@premera.com.

Recredentialing occurs every 3 years after initial credentialing and follows the same process above. A recredentialing packet is sent by mail approximately 90 days in advance of the due date.  The completed packet must be returned no later than the due date to avoid network termination.

Bill mobile crisis response services using a CMS 1500 form.

• Sign in to Availity to use our claims and payments tool to get claim status, detailed payment information, and download your explanation of payment (EOP).
• If you still have questions about your claim, call provider customer service at 877-342-5258, option 1.

• Please reference the Washington State Healthcare Authority’s applicable SERI guide and your contract to determine which services you should be billing.
• You are required, by contract, to bill claims with complete and accurate coding that reflects actual services provided at the time of service. Note that CPT codes can change over time.

• Premera does not permit fragmented or split professional billing which is defined as professional services rendered by the same provider for the same date of service and submitted on multiple professional claim forms.
• All services rendered by the same provider for the same member and date of service must be billed on a single claim form. Premera has claim edits in place to ensure accurate claims processing.

Note: The information above is applicable to most services. Providers are required, by contract, to bill claims with complete and accurate coding that reflect actual services performed at the time of service. CPT codes can change over time and Premera expects all BH-ASOs and providers to stay current on billing regulations and guidelines. If billing for anything other than mobile crisis services, or if you have questions, call provider customer service at 877-342-5258, option 1.

Sign in to Availity for member benefit information and member out-of-pocket costs. It’s important to note that some Premera plans may not include coverage for these services, including Medicare Advantage plans. If you still have questions about member benefits, call customer service at 877-342-5258, option 1.

• When directing members for follow-up care, use in-network providers when clinically appropriate, to minimize the member's out-of-pocket expenses. To find a provider in-network with the member’s plan, check the Find a Doctor tool.
• Premera offers a selection of services to support ongoing care for behavioral health. Call provider customer service at 877-342-5258, option 1, for additional information.