Join Our Network

  • How to apply

    Before applying, check the Washington network closure matrix to see which counties are open to accepting new providers.

    Request an individual contract or join one of our contracted independent practice associations or medical groups. In either case, you must meet our credentialing standards and criteria.

    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 providers

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

    All applicants must send a completion email

    All applicants need to email us at credentialing.updates@premera.com to tell us you’ve completed your credentialing application and remember to attach the following completed documents:
    • SS-4 IRS confirmation letter (displaying Employer Identification Number or EIN)
    • Behavioral health specialty addendum (behavioral health providers only)
    • Department of Health license approval letter (behavioral health providers only)

    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 check and make sure you've entered the correct email address.

    How to avoid delays

    The top reasons for incomplete applications include:

    • 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

    What happens next

    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:

    • New provider joining our network: You'll receive a contract to review and sign through DocuSign. Once you return your signed contract, you'll receive a counter-signed contract through DocuSign with your participation effective date.
    • New provider joining an existing contracted group/clinic: You’ll receive a letter with your credentialed date, and you’ll be added under the group/clinic’s location(s) as a credentialed provider.

    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.

    Request a copy of your contract

    If you need a copy of your contract, send us an email request and we’ll send it to you directly as an email attachment. Please note this email is only for requesting contract copies.

    For new Premera providers

    Learn more about the digital tools and resources that you'll have access to as a credentialed Premera provider.

  • Availity

    Providers can now use Availity to check eligibility and benefits, submit prior authorizations, and more. Sign in to Availity or register and get training.

    OneHealthPort

    ALERT: Availity Sign-On Through OneHealthPort Currently Suspended
    Due to an issue identified by Availity on June 25, OneHealthPort's access to Availity is currently suspended. All providers using OneHealthPort to sign in to Availity must now register directly with Availity to regain access. Providers will receive a call through the number listed in the NPPES National Provider Identifier (NPI) to validate their registration. We're working with Availity to resolve the issue as quickly as possible, and we apologize for the inconvenience. For status on this fluid issue, read the latest Availity alert.

    OneHealthPort is an independent company providing online account management and single-sign on service to multiple health plans. Availity is an independent provider of health information network services that does not provide Blue Cross Blue Shield products or services. Availity is solely responsible for its products and services.

    Our online learning center features an array of tool user guides and web-based trainings, including:

    • Provider orientation: New healthcare office professionals and solo providers can learn more about the business of managing a medical practice and how to work with Premera.

    • Medical eligibility and benefits: Learn about member eligibility and benefit information, including deductible and benefit limit accumulators.

    • Claims best practice: Learn about the most common claims errors and how to prevent them.

    • Claims and payments: Find out how to get claim status, detailed payment information, and download your explanation of payments (EOPs).

    • Medical reference manual: Get answers to your most common questions.

    • Electronic transactions: Learn about faster payment through our electronic claims transaction process.

    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.