Join Our Network

You can request an individual contract or join one of our contracted independent practice associations or medical groups after meeting our credentialing criteria and standards.

We now use Council for Affordable Quality Healthcare (CAQH) for credentialing applications.

Medical and dental providers: Submit your application by signing in to CAQH.

Facility providers:

Please send us an email to request to contract with us. Be sure to include the following information for the facility:

• Legal name
• DBA name
• Facility tax ID number
• Facility specialty
• Facility address

We'll review your request and send you a facility intake form for credentialing if needed.

Use our provider credentialing checklist to make sure you include all necessary information. Note: You must reside in the state of Washington to be credentialed with LifeWise.

You'll receive an email confirmation from Premera that we've received your request. Credentialing typically takes less than two weeks. If it's a new contract, our team will respond within 45 to 60 business days to review, sign, and return all documents through DocuSign. If we don’t receive the signed documents within 30 days from the date the contract is emailed to you, your request will be closed.

Later you’ll receive a counter-signed copy with your contract effective date for your records. The contract won’t be effective until counter-signed by LifeWise.

We work with a company called Certify for credentialing verification. They're certified by the National Committee for Quality Assurance (NCQA) as a credentialing verification organization to handle credentialing application verifications and ongoing monitoring. Certify may contact you on our behalf if additional information is needed during the credentialing process. This collaboration aims to streamline and make the credentialing process much faster for providers.

Use Better Doctor to update your provider information and directory listing.

To request a new contract, please email us the following information:

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

To establish a contract in Washington, you must provide care primarily in Washington state. You may be eligible if practicing in an adjacent county bordering Washington state.

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.