Our learning center features provider resources and online tool guides.
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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.
Dental eligibility and benefits: Get complete dental member eligibility and benefit information, including accumulators
for X-rays, tooth history, and detailed member plan language.
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.
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.
Real-time estimates: Estimate patient costs for professional and dental services, and submit claims in real-time (medical only, upon request).
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.
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
Coding respiratory: Learn how to accurately document and assign diagnosis codes for patients with multiple
Coding diabetes: Documenting and accurately coding diabetes can be challenging. Learn how to prevent common coding
View sample ID cards, learn about plans, new networks, and copays with ID card guide.
Check out our Prior Auth Tool User Guide for step-by-step instructions and tool screenshots.