Learning Center

  • Our learning center features provider resources and online tool guides.

    Note: For the best possible experience, please use the latest version of Google Chrome, Firefox, or Internet Explorer.

  • Our user guides include step-by-step instructions with screenshots showing you how each online tool works.

    Medical eligibility and benefits: Get medical member eligibility and benefit information, including deductible and benefit limit accumulators. Want more training? View our eligibility and benefits workshop.

    Dental eligibility and benefits: Get complete dental member eligibility and benefit information, including accumulators for X-rays, tooth history, and detailed member plan language. Want more training? View our eligibility and benefits workshop.

    Vision eligibility and benefits: Get complete vision member eligibility and benefits information.

    Prior authorization: See if a code needs medical necessity review, submit a review, or check the status of an existing review. Want more training? View our prior authorization workshop.

    BlueCard pre-service review router: Submit online pre-service review requests for BlueCard members via their home plan's website.

    Claims and payments: Get claim status, detailed payment information, and even download your explanation of payments (EOPs).

    Claims editor/What If tool: Test billing scenarios and code combinations with our claims editing software that displays specific coding rationale.

    Electronic funds transfer: Enroll in electronic funds transfer (EFT) for your Premera/affiliate payments.

    Explanation of payments: Look up, print, and download PDFs of your explanation of payments (EOPs)

    PCP roster: Download a roster of our members who've selected a PCP in your office.

    To use these online tools, log in.

    Whether you're new to your job, training someone, or taking on more responsibility, we've got quick and easy ways to learn online. Created for your busy schedule, most tutorials are 3-4 minutes long.

    Provider orientation: For new healthcare office professionals and solo clinical practitioners. Learn the business of managing a medical practice and working with Premera. View our Premera 101 workshop.

    Provider directory best practices: For providers listed in our Find a Doctor search. See the requirements for having an accurate provider directory listing, and how to update your information when needed.

    BlueCard training: For healthcare office professionals. Assist patients with out-of-state Blue plans, including submitting claims.

    Claims best practices: For claims professionals. Learn about the most common claims errors and how to prevent them.

    Clinician overview: For newly-hired clinicians. Addresses prior authorization, medical policies, and other key information about working with Premera.

    Coding major depressive disorder: Accurately code and document major depressive disorder. Divided into four short sections, this training is part of a condition-focused series.

    Coding respiratory: Learn how to accurately document and assign diagnosis codes for patients with multiple respiratory diseases.

    Coding diabetes: Documenting and accurately coding diabetes can be challenging. Learn how to prevent common coding errors.

    Coding cancer: Use these tips to avoid errors when coding and documenting cancer.

    We know it can be challenging to find time for trainings and educational opportunities. The following schedule helps you plan for upcoming Premera workshops and view previously recorded workshops.  All workshops are on Wednesdays from 1:30-2:30 p.m. 

    Next Webinar

    Behavioral Health - May 11, 2022

    Save the Date

    Shared Admin and BlueCard, July 13, 2022

    Individual Plans and Evolent, September 14, 2022

    Topic TBD, November 9, 2022

    Availity Webinars
    To register for a webinar, or view upcoming or recently recorded Availity webinars, you'll need to sign in to availity.com and visit the Availity Learning Center. Enter keywords Premera BC to find Premera webinars.

    Watch previous workshops

    Premera and Healthcare in 2022, January 19, 2022
    Credentialing, November 10, 2021
    Claims Editing, September 15, 2021
    No Surprises Act
    , July 21, 2021
    , March 10, 2021
    Premera 101, February 3, 2021
    Prior Authorization, September 9, 2020
    Eligibility and Benefits, November 11, 2020

    We're here to help. Just email us at ProviderExperience@premera.com.

    View sample ID cards, learn about plans, new networks, and copays with ID card guide.

    Providers must sign up for OneHealthPort to use our online tools. Registration is easy and free. Go to OneHealthPort and select the Register tab in the Single Sign-On section. If you need help call 800-973-4797.

    OneHealthPort is an independent company providing online account management and single-sign on service to multiple health plans.

    Increasing equitable access to quality, affordable healthcare tailored to fit a community's needs.

    At Premera, our purpose is to improve customers' lives by making healthcare work better. That means we need to recognize the areas where healthcare falls short. Many long-standing health inequities exist because of poverty, systemic racism, and discrimination. The result is unfair, unjust, and can have a negative impact on health.

    Health equity goals

    • Thinking outside of traditional healthcare responses will help address real-life, common challenges that prevent people from accessing the care they deserve
    • Solutions that improve the health for our populations will benefit other historically marginalized groups
    • A fair healthcare system can and should improve health outcomes and quality of care and contribute to the elimination of racial and ethnic health disparities

    Continuing medical education

    There are many resources available to build knowledge in health equity that provide tools for you to best connect with your patients and community.

    Want to learn more about Health Equity?

    Access resources to build knowledge in health equity that provide tools for you to best connect with your patients and community.