Credentialing and Claims

  • September 21, 2017

    If your organization is contracted with Premera, most practitioners must be credentialed, with the exception of hospital-based practitioners. Learn more about which practitioners need to be credentialed by viewing our credentialing matrix.

    Practitioners who aren't credentialed may have their claims returned until they submit a complete credentialing application. Lack of credentialing can be grounds for termination from Premera's network.

    Learn more about credentialing on our website and view our credentialing forms.

    New to credentialing? Visit our Learning Center to watch a three-minute training on contracting and credentialing.

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