Join Our Network

One of the best ways we can serve our customers is ensuring access to a high quality provider network. Before applying, be sure to check the Washington Network Closure MatrixIf you're already contracted with a LifeWise affiliate plan, you don’t need to sign a separate agreement or submit another credentialing application.

How to apply

You can request an individual contract or join one of our contracted independent practice associations or medical groups. In either case, you must also meet our credentialing criteria:

  • Complete the Washington medical or dental application, attestation, and release forms
  • Send your completed application with copies of the following documents:
    • Current DEA certificate or coverage plan for the state in which you’re practicing
    • All current state licenses
    • Current professional liability insurance certificate
    • Completed W-9
    • Any explanations to “Yes” answers on your credentialing application

How to avoid delays

The top reasons for incomplete applications include:

  • Incomplete address, suite number, or phone number
  • Missing tax ID number
  • New contracts are frequently missing the W-9
  • Expired malpractice insurance
  • Incomplete or missing work history or education information
  • Hospital privileges, if applicable

Submit by mail, fax, or email

Mail:
PO Box 327 - MS 263
Seattle, WA 98111-0327

Fax: 425-918-4766

Email: Credentialing.Updates@LifeWiseHealth.com

What happens next

Your acceptance is based on application information and network requirements. Please be aware that the credentialing process typically takes 60 to 90 days. 

If your submitted application is complete and you’re accepted, you’ll receive a counter-signed contract and start date. For all LifeWise plans, you can’t see members under the contract until you’re officially credentialed. Also, your malpractice insurance must start before credentialing is complete.

For more information

For more information about our selection criteria and credentialing standards, contact Physician and Provider Relations.