Join Our Network

How to apply

To apply, you can request an individual contract or join one of our contracted independent practice associations or medical groups once you meet our credentialing criteria and standards.

Submit your application using our hard-copy credentialing application until we transition to the new vendor, CAQH. Find out more about the CAQH transition.

Use our provider credentialing checklist to make sure you've submitted all necessary information.

Submit your application by fax, email, or mail:

• Fax: 425-918-4766
• Email: credentialing.updates@premera.com
• Mail: PO Box 327 – MS 263, Seattle, WA 98111–0327

For dental and facility providers

Dental provider application - Request to join our dental network
Organization/facility credentialing/recredentialing application - Request to join our provider network as a facility

Send us a completion email

All applicants need to email us at credentialing.updates@premera.com to notify us that you’ve completed your credentialing application.

Remember to attach the following completed documents:

• SS-4 IRS confirmation letter, displaying employer identification number or EIN (If using your Social Security number, submit a W-9 form instead of the SS-4.)
• Behavioral health specialty addendum (behavioral health providers only)
• Department of Health license approval letter (behavioral health providers only)
• Hospital admission/inpatient coverage plan

You’ll receive a confirmation email from Premera that says we’ve received your request. If you don't receive a Premera-automated email response, please make sure you've entered the correct email address.

How to avoid delays

The top reasons for incomplete applications include the following:

• Incomplete address, suite number, or phone number
• Missing SS-4 (EIN) on new contracts
• Expired malpractice insurance
• Missing work history or education information
• Hospital privileges, if applicable

Provider update - Email this form to Premera with new information or changes to your current practice or payment structure. The federal No Surprises Act requires health plans to verify all provider directory data every 90 days. It also requires all providers and facilities to submit this information to in-network plans. Unverified providers may be removed from our directory.

To request a new contract, please email us the following information. Note that you must reside in Washington state to be credentialed with Premera.

• Copy of the SS-4 or 147c letter from the IRS
• DBA name
• TIN
• Address (location, remit/mail)
• Phone number
• Fax number
• Email (for sending your contract through DocuSign)
• Practitioner name(s) and NPI(s)
• Name of the business owner(s)
• Effective date

You will receive an email from our contracting department in the next 45 to 60 business days to review, sign, and return all documents through DocuSign. If we do not receive the signed documents within 30 days from the date the contract is emailed to you, we will close your request.

The contract will not be effective until countersigned by Premera. You will receive a countersigned copy that includes your contract effective date for your records.

Request a copy of your contract

If you need a copy of your contract, send us an email request that includes your contract name (full legal name as reported to the IRS), tax identification number (TIN), and your relationship to the provider. Once received, we’ll send your contract as an email attachment. Please note this email is only for requesting contract copies.

Availity

Premera uses Availity as its primary secure portal. Sign in to Availity or register for training. View our Availity provider FAQ for more details.

Our learning center is a great resource for provider training and information, including the following:

• Guides for using our individual plans
• Provider workshop information and recordings
• Continuing medical education resources for health equity
• Network and ID card guides
• Coding resources

Check out the learning center today.

It’s important to keep up with the latest Premera news and policy updates. Premera Provider News is the primary way we communicate with our contracted provider offices.

Sign up for an email subscription today!

Our contact us page gives you all the Premera contact information you need.