Premera is joining the national Dental GRID, one of the country’s leading national dental networks. This nationwide dental network links networks from many Blue Cross Blue Shield (BCBS) plans from across the country for BCBS members to use. Read the dental GRID network FAQ to learn more.
The GRID Dental Corporation is a separate company that provides access to dental networks and services on behalf of participating Blue Cross Blue Shield plans.
Claim payer IDs are used to make sure your electronic transaction is routed to the right health plan. If you're using a
clearinghouse, be sure to verify all payer IDs as they might request that you
use a different payer ID than those listed here.
| Plan |
Professional |
Dental |
| Premera Blue Cross Blue Shield of Alaska* |
00430 |
47570 |
*These payer IDs work for all Premera plans, including FEP, BlueCard, and NASCO. View payer IDs for Individual Plans.
Claims mailing address:
PO Box 91059
Seattle, WA 98111-9159
Quick answers to common questions
What is a predetermination?
Use a dental pre-determination to verify a member’s benefits before services are started so financial arrangements can be made for reduced or uncovered services. Use the code check tool in Availity Essentials to see which procedure codes recommend predetermination.
How do I submit a pre-determination?
There are three ways to submit a dental pre-determination request, just as you’d normally submit a claim:
How do I submit a dental prior authorization?
There are two ways to submit a request:
- Sign in to Availity Essentials and select Prior Authorization
- Mail to:
Dental Review
PO Box 91059
Seattle, WA 98111-9159
Dental prior authorization is required for the following services:
- Cosmetic and reconstruction services
- General anesthesia and facility services related to dental treatment
- Orthodontic services for treatment of congenital craniofacial anomalies
- Orthognathic surgery
- Temporomandibular joint disorder (TMJ)
Can I email x-rays? No. We can’t accept emails from outside Premera with attachments. Digital x-rays must be faxed to us at 425-918-5956 or submitted to National Electronic Attachments (NEA) or Change Healthcare (CHC). Our payor ID is 47570.
Are oral appliances covered?
Oral appliances, used to treat bruxism, such as a nightguard, are covered by Premera unless otherwise stated in the member’s specific dental benefits. An oral appliance and oral appliance therapy can be reviewed for available medical plan benefits, but we require documentation of a sleep study, cardio-respiratory study, or polysomnography to verify medical
necessity and the diagnosis of obstructive sleep apnea. Snoring problems alone aren’t covered. A prior authorization is required; see the medical policy for more information.
Does my dental contract include billing for medical services?
Yes, under your dental contract you can bill for both dental and medical services. When billing for a medical service use a CMS 1500 form.
When do I bill for medical instead of dental?
For some procedures, the line between medical and dental isn’t always clear. We’ll review the submitted claim to determine if the service is payable under the medical or dental plan. If it’s
a tooth- or gum-related tumor or cyst, it’s often payable under dental. If it’s a lip-, tongue-, or cheek-related procedure, it’s often payable under medical. Sending an operative or pathology report is helpful when we review these types of claims
for benefits.
Do you reduce composite fillings to the amalgam rate?
Unless otherwise stated in the member’s specific dental benefits,
Premera does not reduce composite fillings to the amalgam rate.
View more frequently asked questions.
Contact us
For help with getting a copy of your fee schedule, changing your office tax ID, or notifying us of an ownership change, please email us. To complete your email request as quickly as possible, we do require the provider tax ID number, NPI numbers, and provider names for all emails. Please allow our team 20 to 30 days to complete your request.
For further information on fee schedules, see our Dental Reference Manual Claims and Payments page.