LifeWise Group Plans Soon Available in Clark County
Starting in early 2024, LifeWise Health Plan of Washington is offering a group PPO plan in Clark County (southwest Washington). This will expand fully insured business through several new association groups. We anticipate new members coming on board near the end of the first quarter of 2024.
Here’s some frequently asked questions to help explain the new plan for Clark County.
How is the new LifeWise Health Plan of Washington (LWWA) group plan different from LWWA Individual Plans?
The new LWWA group plan has a unique provider website and uses Availity for secure tools (not Evolent). It also has its own unique ID card and its own medical policies.
Does the group plan have its own medical and payment policies?
The payment policies are the same as LWWA Individual Plans. The medical policies are unique to LWWA group plans. Both links are available through the Availity LWWA Payer Space under the Resources tab.
Which provider network is used for the new LWWA group plan?
The network is LifeWise Health Plan of Washington Preferred.
What does the ID card look like?
An example of the ID card for this plan is included on page 6 of the ID Card Guide.
Are there specific provider forms for the new LWWA group plan?
Yes, the group plan has its own branded forms which are available both on the provider website and through the Availity LWWA Payer Space under Resources > Forms.
Is there a specific provider website for this business?
Yes, the new LWWA group plan has its own provider website and uses Availity for secure tools (not Evolent). It also has its own unique ID card and its own medical policies.
Are there training resources for providers to learn about this new plan?
Training resources will be available soon in the Learning Center of the new LWWA group provider website.
Does the new LWWA group plan have a unique claim payer ID for billing electronic claims?
The payer ID for professional and institutional claims is 00430.
Where do I send my claims for the new LWWA group plan?
LifeWise Health Plan of Washington
P.O. Box 91059
Seattle WA 98111-9159
If I’m already registered for 835 (electronic remittance advice) and EFT (electronic funds transfer), do I also need to register for the new LWWA group plan?
If you’re already registered for 835 and EFT, you don’t need to register for the new LWWA group plan. Registration for 835 and EFT is for all LifeWise payments. It excludes our Individual and shared administration plans.
What is the contact information for the new LWWA group plan?
Provider Customer Service: 800-592-6804, Monday-Friday, 6 a.m. to 5 p.m. (available March 1)
Availity technical or registration help: 800-282-4548, Monday-Friday, 8 a.m. to 8 p.m., Eastern Time
Provider relations: Contact via email.
Claims:
LifeWise Health Plan of Washington
PO Box 91059
Seattle WA 98111-915
Clinical review:
Fax inpatient admission notification forms to 888-742-1487. Fax prior auth forms to 800-843-1114.
EDI: Call 800-435-2715 or email
Pharmacy: Call 888-261-1756 or email