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  • Lifewise Credentialing Application For Doctors Form

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If more space is needed than provided on original attach additional sheets and reference the question being answered. Modification to the wording or format of the Oregon Practitioner Credentialing Application will invalidate the application. Complete the application in its entirety. OREGON PRACTITIONER CREDENTIALING APPLICATION PROFESSIONAL LIABILITY ACTION DETAIL ATTACHMENT A GLOSSARY OF TERMS AND ACRONYMS PURPOSE ESTABLISHED BY HOUSE BILL 214.

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Call 800-435-2715 if you have questions about our electronic claims clearinghouse. To submit claims electronically, use 91049 as the payer ID.

What if I need to cancel my plan? If you purchased your plan directly from LifeWise, you can call customer service at 800-817-3056. If you purchased your plan from Washington Healthplanfinder, please call their customer support at 855-923-4633. You cannot cancel your plan by calling LifeWise customer service.

LifeWise, a Premera affiliate, has marketplace plans available in 35 counties throughout Washington state. Group/Commercial: These can be PPO or EPO and are typically employer-based plans. Examples of EPO plans are Peak Care and Your Focus, while Your Choice and Your Future are PPO.

Customer service Call 800-817-3056, Monday through Friday, 8 a.m.-6 p.m. PT.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232