Due to system issues, it may take up to four months for L&I’s provider credentialing team to process new provider applications and changes to existing accounts. We’re working on fixing this issue and we appreciate your patience.
Updated: May 17, 2024
Welcome to L&I
To bill for services, all providers must apply for an L&I provider account number through ProviderOne. All healthcare providers must have a National Provider Identifier (NPI) to apply. If you need to obtain an NPI, see the "NPI requirement" tab below.
For the following provider types use the "Exempt Provider Application" tab below:
- Interpreters
- Independent medical examiners
- On the job training (OJT)
- Veterans Affairs (VA) facilities
- Third party pharmacies
- Clearinghouses
- Health Service Coordinators
- Out of country providers, apply here.
Action Required
L&I needs all Groups to ensure their servicing providers are added/associated with their ProviderOne Group domain. Failure to take action may impact payment of services. To learn more, visit the "ProviderOne Action Required" tab below.
ProviderOne is an online portal where you can submit an application to enroll with multiple state agencies.
Tips for Success
- Use our ProviderOne Guides and Resources for step-by-step instructions to enroll.
- For additional tips, visit ProviderOne Frequently Asked Questions
Start a new Application
All providers new to L&I and ProviderOne must apply for an L&I account through ProviderOne.
Note: To resume/complete an incomplete application, click here. You'll need your application ID and SSN/FEIN.
Forms required when submitting your application:
Before submitting your application, please be sure all forms are uploaded. Incomplete applications cannot be processed and will delay payments.
If you practice in Washington State and are one of the following provider types, you are required to be in network to be paid for services beyond the initial visit. | And, if you are new to L&I, you must upload the following forms in ProviderOne when you apply. |
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All other provider types, including all out of state providers and facilities must upload the following: | Provider Agreement Note: Billing providers are also required to submit a copy of their IRS Form W-9. |
If you are one of the following providers, click on the link below for additional instructions:
Returned Application?
- Return to ProviderOne.
- Correct missing or incomplete information.
- Use the appropriate enrollment guide. See ProviderOne Guides and Resources.
- Resubmit your application for review.
Questions?
Accessing Your ProviderOne Domain
Effective 8/9/2024
Once your ProviderOne application is approved you will be issued a ProviderOne ID (Domain). To access your domain to make updates and add additional providers you must establish a domain administrator. Follow the steps below to request administrator access.
All Healthcare providers go to Health Care Authority's (HCA) Provider Contact Us web form
- Select topic: "ProviderOne Access Request Form".
- Complete all required fields.
- If you do not have an NPI, enter 000000000 in the NPI field.
- Submit the request.
Attention OneHealthPort (OHP) Users
Providers that established their administrator profile with One Health Port (OHP) will continue to access ProviderOne using OHP’s Single Sign On. You must contact OHP directly for any access issues with your administrator profile.
How do I unlock my account?
To unlock your ProviderOne account, go to the ProviderOne login page. Under the login button:
- Click "To Unlock Account and Reset Password, Click here."
- You will be required to correctly answer the password reset questions, listed below, before a temporary password will be sent to the email address in your user file.
Security questions are: - Secret Question (case sensitive)
- Date of Birth (mm/dd/yyyy)
- Last Name (case sensitive)
- If you get an error message saying your security questions are incorrect, contact your organization’s system administrator for verification. If you are a system administrator, email the ProviderOne Security team.
- If you are the sole system administrator of a domain, ProviderOne Security can assist with unlocking your account or resetting a password. If there are additional system administrators within your organization, you will be referred to them for assistance.
For more information regarding access, visit Washington State Health Care Authority.
Exempt Provider Application
If you are exempt from ProviderOne, follow the instructions below to apply.
Here's how to apply:
- Complete a Provider Account Application (F248-011-000).
- If you are one of the following provider types, you have additional requirements. To fulfill those requirements, visit:
- Submit your completed L&I application and all supporting documents by email, fax or mail to:
- Email: PacMail@Lni.wa.gov
- Fax: 360-902-4484
- Mail:
Provider Accounts and Credentialing
P O Box 44261
Olympia, WA 98504-4261
- Avoid payment delays! Go to ofm.wa.gov/payee and submit the Vendor/Payee Registration form directly to the Office of Financial Management (OFM) for:
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- New enrollment
- Changes in EFT payments
- Legal name changes
OFM forms must be submitted at the same time as your Provider Account Application.
Note: Providers are responsible for directly submitting necessary forms to OFM. L&I can’t accept or forward OFM forms on behalf of the provider.
For questions regarding OFM forms or the registration process, call 360-407-8180 or email PayeeRegistration@ofm.wa.gov.
Next Steps
Allow 60 - 90 days for application review. You will receive notification once your application has been processed. If you haven't heard from us after 90 days, please email PACMail@Lni.wa.gov.
Action Needed:
In order to ensure there are no billing issues with your group or servicing accounts, please complete the following steps.
First, check to see if the Provider exists in ProviderOne:
The easiest way to determine this is by clicking into Step 14 from your group domain, click “Add”, enter the individual providers NPI and start date, click “Confirm Provider”.
- Proceed to Option 1 if you get an error message that states “this NPI doesn’t exist in ProviderOne”
- Proceed to Option 2 if the system prompts you to add an agency.
Option 1: To add individual servicing providers who do not exist in ProviderOne, follow these steps:
- Click to Apply for an L&I account through ProviderOne.
- Choose individual provider enrollment.
- Please use individual provider's Social Security Number (SSN) and National Provider Identification (NPI).
- For servicing type, you must select “servicing only”.
- Complete all required steps for this enrollment by using this guide.
- Only select the primary taxonomy for the individual. L&I only requires the primary taxonomy.
- Step 15 of the providers’ application is where you add the group NPI (type 2) to associate the provider to your group.
- Step 19, the final step,
- Click "Submit Enrollment" to send to L&I for review.
Option 2: If the Individual Provider exists in ProviderOne, follow these steps:
- If the Provider is found, you will be prompted to add an agency.
- Follow the system prompts.
- Once you have completed the association, stay in Step 14 and filter by Status I%.
- Click on the providers name to complete the enrollment by using Step 14 of this guide.
- Review each required step and upload the required documents at the final step.
- Submit new application modification for L&I review.
- Repeat steps 1-6 for each additional provider.
- Go back into the group and submit modification once you have completed your updates.
NPI Requirement
All healthcare providers who are HIPAA-covered entities (individuals or organizations) must obtain a National Provider Identifier (NPI) before they can apply in ProviderOne.
If you do not obtain an NPI you cannot start an application in ProviderOne. Providers must have an active account to bill for services.
Apply today for an NPI number!
Visit the National Plan & Provider Enumeration System (NPPES) to apply for a new individual or organization NPI number: https://nppes.cms.hhs.gov/#/. See the step-by-step application instructions in the resources section below.
Resources
- Step-by-Step Instructions: https://nppes.cms.hhs.gov/assets/How_to_apply_for_an_NPI_online.pdf
- NPI - What You Need To Know.pdf