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 CAQH for credentialing applications.

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

Facility providers: Submit using our  organization/facility credentialing/recredentialing application. Send your completed application by email. You'll receive a confirmation email from LifeWise that says we've received your request. If you don't receive a LifeWise-automated email response, please make sure you used the correct email address.

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.

After you submit your completed application through CAQH, send us a completion email so that we know it was submitted. If you're a behavioral health professional, attach the behavioral health specialty addendum to the email.

After you submit your application, you’ll receive an email from our contracting department 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 its counter-signed by LifeWise.

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.