Enroll as a health care professional practicing under a group or facility
Instructions for licensed health care professionals who wish to enroll with the Health Care Authority (HCA) as a performing provider practicing under a group or facility.
On this page
Health care professionals practicing under a group or facility are called servicing providers. To find out if you are eligible to be a servicing provider, please refer to the listing of eligible provider types for Washington.
Important! The group or facility under which you practice must be enrolled with HCA as a billing provider and have a Core Provider Agreement with the agency. Servicing provider applications submitted without a billing provider will be denied.
Additional forms are not required to enroll as a servicing provider. However provider-specific documents may be required depending on your provider type.
Submitting provider-specific documents
After your application has been submitted for review:
- Enter your 16-digit application number.
- Print the document submission cover sheet
Attach the cover sheet as the first page to all required documentation.
There are multiple ways to obtain assistance with enrolling a servicing provider:
- Follow the step-by-step instructions in the ProviderOne How to Enroll a Servicing Provider user manual.
- Contact Provider Enrollment 1-800-562-3022 ext. 16137
Phone hours: 7:30 a.m. - 4:30 p.m.
(Phones are down on Wednesdays and weekdays between noon and 1 p.m.).
- Submit a help request.
The online application has 17 steps. Steps 1, 3, 5, 14*, 16, 17 are required.
*Step 14 “Add Billing Provider Details” indicates it is “optional” however this step is required.
Phone: 1-800-562-3022 Ext 16137