Individuals enrolled in Apple Health (Medicaid), Public Employees Benefits Board, and School Employees Benefits Board coverage - and those accessing behavioral health services - will not experience a disruption in care due to the federal government shutdown. In addition, health care providers will continue to be paid for the services they provide. We will continue to monitor the situation closely and share updates if anything changes.
When trying to add billing provider details in a servicing provider’s application, ProviderOne gives an error when using the NPI.
If workaround can’t be used, might not be able to progress in applications or modifications.
HCA’s ProviderOne will be making an SFTP port change for ftp.waproviderone.org from 22 to 1025 effective October 13, 2025, at 6:00 PM PST.
Action Required:
Update all EDI file submission and download scripts to use port 1025 on October 13, 2025, at 6:00 PM PST to avoid any disruptions. Do not change your port to 1025 prior to the change on October 13, 2025, at 6:00 PM PST.
If you have any questions or need assistance, please reach out to hipaa-help@hca.wa.gov
Thank you for your attention to this update.
Provider Impact: Providers that currently access ftp.waproviderone.org
Due to a system issue involving the inpatient grouping software that is still being tracked, some inpatient claims received by HCA may either improperly fail to group to a DRG, causing a denial, or in a smaller number of cases, group to an incorrect DRG, which may cause some denials or pricing changes. The issue will be resolved as quickly as possible.
In most cases involving this issue, providers will see inpatient claims deny for failure to group to a DRG. In a minority of cases, there may be some claims which group to an incorrect DRG.
This issue is not specific to ProviderOne. Please refer to the Adobe website for assistance. ProviderOne related issue: When creating barcode coversheets using come internet browsers, the barcode is not generating/displaying.
To all ProviderOne users
ProviderOne outage planned for Saturday, September 13, 2025, through Sunday, September 14, 2025
The ProviderOne system will be unavailable from 5:30 a.m. Saturday, September 13 until 8 a.m. Sunday, September 14 (26.5 hours) due to scheduled maintenance.
This outage does not affect the Pharmacy POS
Pharmacies will still be able to submit claims for processing and faxes can be sent during the outage. Faxes will be processed after the outage is complete.
Please report any issues to: mmishelp@hca.wa.gov.
Thank you.
The ProviderOne system will be unavailable from 5:30 a.m. Saturday, July 12 until 8 a.m. Sunday, July 13 (25.5 hours) due to scheduled maintenance.
This outage does not affect the Pharmacy POS
Pharmacies will still be able to submit claims for processing and faxes can be sent during the outage. Faxes will be processed after the outage is complete.
Please report any issues to: mmishelp@hca.wa.gov.
Thank you.
Due to the timing of the State Biennium End and the observance of Independence Day, payments to providers for the week of June 30, 2025, will be delayed and made the following week on Tuesday, July 8, 2025. Remittance Advices (RAs) and HIPAA 835 files will also be made available on Tuesday, July 8, 2025. Normally payments and remittance advice documents would be available for providers on Friday, July 4, 2025 but must be moved due to the Biennium end and the holiday.
Claim submission deadlines have been updated as reflected below to ensure that providers are able to receive payment and Remittance Advice documents on July 8, 2025.
The deadline for submission of claims to ProviderOne in order to receive payment on July 8, 2025 will be extended to 5 p.m. on Wednesday, July 02, 2025.
The deadline for submission of pharmacy claims to the Point of Sale (POS) in order to receive payment on July 8, 2025 will be extended to 5 p.m. on Tuesday, July 1, 2025.
Payment and claims submission deadlines for the week of July 7, 2025 will not be impacted. Two payments will be made during this week.
In observance of Juneteenth, state offices will be closed Thursday, June 19, 2025. As a result, provider payments for the week June 16, 2025, will be made on Saturday, June 21, 2025, including the delivery of Remittance Advices (RAs) and HIPAA 835 remittance files.
Thank you.
Due to the timing of the State Biennium End and the observance of Independence Day, payments to providers for the week of June 30, 2025, will be delayed and made the following week on Tuesday, July 8, 2025. Remittance Advices (RAs) and HIPAA 835 files will also be made available on Tuesday, July 8, 2025. Normally payments and remittance advice documents would be available for providers on Friday, July 4, 2025, but must be moved due to the Biennium end and the holiday.
Claim submission deadlines have been updated as reflected below to ensure that providers are able to receive payment and Remittance Advice documents on July 8, 2025.
The deadline for submission of claims to ProviderOne in order to receive payment on July 8, 2025, will be extended to 5 p.m. on Wednesday, July 02, 2025.
The deadline for submission of pharmacy claims to the Point of Sale (POS) in order to receive payment on July 8, 2025 will be extended to 5 p.m. on Tuesday, July 1, 2025.
Payment and claims submission deadlines for the week of July 7, 2025 will not be impacted. Two payments will be made during this week.
The ProviderOne system outage planned for 5:30 a.m. Saturday, June 14 until 8 a.m. Sunday, June 15 (25.5 hours), has been cancelled and will be rescheduled for a future date. The ProviderOne system will be available and fully operational on Saturday, June 14, 2025 and Sunday, June 15, 2025.
To all ProviderOne users
ProviderOne outage planned for Saturday, June 14, 2025, through Sunday, June 15, 2025
The ProviderOne system will be unavailable from 5:30 a.m. Saturday, June 14 until 8 a.m. Sunday, June 15 (25.5 hours) due to scheduled maintenance.
This outage does not affect the Pharmacy POS
Pharmacies will still be able to submit claims for processing and faxes can be sent during the outage. Faxes will be processed after the outage is complete.
When navigating in the ProviderOne Provider portal some providers are receiving error messages when attempting to select certain hyperlinks, or when attempting to submit a claim.
The error message received can be one of many:
All error messages may not be identified yet. These error messages may not be a ProviderOne issue. Many times, this indicates the Provider needs to allow the ProviderOne URL to their allowed sites under pop-ups and redirects in their browser settings.
Open your browser, Google Chrome, MS Edge, etc.
If using edge:
If using chrome:
If this does not fix the issue, the provider or staff can submit a ticket to MMIS. This will create a ticket for the ProviderOne Operations team to resolve.
The popup blocker will prevent the providers from submitting their claims to the ProviderOne system.
To all ProviderOne users
ProviderOne outage planned for Saturday, March 8, 2025, through Sunday, March 9, 2025
The ProviderOne system will be unavailable from 4:30 a.m. Saturday, March 8 until 8 a.m. Sunday, March 9 (26.5 hours) due to scheduled maintenance.
This outage does not affect the Pharmacy POS
Pharmacies will still be able to submit claims for processing and faxes can be sent during the outage. Faxes will be processed after the outage is complete
We have become aware of a Remittance Advice reconciliation issue that occurred during last week’s payment and remittance cycle on January 1-3, 2025. To be clear, this is a remittance issue, not a payment issue. While we are still diagnosing the root cause and remediation, we want to provide assurance that payments made last week on January 3, were accurate. Impacted providers received a Remittance Advice showing a lower payment amount than the actual payment amount received by the providers. Once remediation activities have been defined, specific outreach will be conducted with impacted providers.
Please submit additional questions to MMISHelp@hca.wa.gov
When OHP subscriber is accessing ProviderOne from OHP, OHP sends to ProviderOne the OHP role the OHP subscriber has associated. When the ProviderOne security domain does not have ProviderOne profiles associated for ProviderOne profiles to OHP role, the incorrect message is displayed "No User Profiles assigned to the User. Please contact HCA ProviderOne Security”.
The correct message is "Error: Please contact System Administrator. There are no ProviderOne profiles associated with your roles".
Online: Secure form