Mobile crisis response

• You’ll find all the credentialing forms and information you need on our Join our Network page. All new applicants need to complete an organization/facilitycredentialing/re-credentialing application.
• All applicants need to email us to tell us you’ve completed your credentialing application.
• Credentialing occurs at the agency level. Practitioners are not credentialed individually.
• Requests for missing information required to complete credentialing are sent by mail and/or email.

You’ll receive a letter as soon as your application is approved. Your acceptance is based on complete application information and meeting the network requirements. The credentialing process may take up to 45 days to complete.

Recredentialing occurs every 3 years after initial credentialing and follows the same process above. A recredentialing packet is sent by mail approximately 90 days in advance of the due date.  The completed packet must be returned no later than the due date to avoid network termination.

Mobile crisis response services should be billed on a CMS 1500 form.

• For LifeWise individual plans, you’ll need to sign in to Availity to submit claims, get claims status, detailed payment information, and download your explanation of payments (EOPs).
• If you still have questions about your claim, please call customer service at 800-592-6804, Monday through Friday, 8 a.m.-6 p.m. PT.

• Please reference the Washington State Healthcare Authority’s applicable SERI guide and your contract to determine which services you should be billing.
• You are required, by contract, to bill claims with complete and accurate coding that reflects actual services provided at the time of service. CPT codes can change over time.

• LifeWise does not permit fragmented or split professional billing which is defined as professional services rendered by the same provider for the same date of service and submitted on multiple professional claim forms.
• All services rendered by the same provider for the same member and date of service must be billed on a single claim form. LifeWise has claim edits in place to ensure accurate claims processing.

Note: The information above is applicable to most services. Providers are required, by contract, to bill claims with complete and accurate coding that reflect actual services performed at the time of service. CPT codes can change over time and LifeWise expects all BH-ASOs and providers to stay current on billing regulations and guidelines. If billing for anything other than mobile crisis services, or if you have questions, please contact Customer Service at 800-592-6804, Monday through Friday, 8 a.m.-6 p.m. PT.

Please sign in to Evolent for member benefit information and member out-of-pocket costs. It is important to note that some LifeWise plans may not include coverage for these services. If you still have questions about member benefits, please call customer service at 800-592-6804, Monday through Friday, 8 a.m.-6 p.m. PT.

• When directing members for follow-up care, use in-network providers when clinically appropriate, to minimize the member's out-of-pocket expenses. To find a provider in-network with the member’s plan please reference the Find a Doctor tool.
• LifeWise offers a selection of services to support ongoing care for behavioral health. Please contact customer service at 800-592-6804, Monday through Friday, 8 a.m.-6 p.m. PT for additional information.