Learning Center

  • REMINDER: Premera Secure Portal Tools Available Through Availity

    Sign in to Availity to access the following tools:

    • Eligibility and benefits
    • Prior authorization
    • Check prior authorization status
    • Claims and payments
    • C3 claims editor
    • Electronic funds transfer (EFT) for enrollment or cancellation

    To learn more about Availity secure tools, view the Availity Tips and Resources tutorial or check out Premera-specific webinars in the Availity Learning Center. Simply sign in to Availity, and go to the Availity Learning Center > Help & Training > Get Trained and enter the keyword "Premera."

     

  • Quick Training Videos: Tips for Working with Premera

    Our provider training videos give you easy access to quick tips (most are less than 5 minutes long) on Availity tools and other important Premera provider information. Sign in to Availity to watch the training videos for the following Availity tools:

    Adding Washington state as a new region in Availity: Learn how to add Washington state so you can see complete benefits for members.

    Availity tips and resources: Watch a general overview for using Availity secure tools.

    BlueCard and Shared Administration eligibility and benefits: Learn how to check eligibility and benefits for BlueCard members and Shared Administration groups.

    Claim attachments: Get the details for adding claim attachments.

    Claim corrections: Correct online claims in pending or final status.

    Claim denial reasons: Easier to understand explanations save you time.

    Claims editor C3 tool: Use this tool to test billing scenarios and code combinations.

    Claim status: See all claim status options and know if action is needed.

    Deluxe remittance viewer: View all claims related to your explanation of payment (EOP).

    Electronic funds transfer (EFT): Learn how to sign up for EFT.

    Fee schedule - dental: Use the Premera Dental payer to view fee schedule rates.

    Fee schedule - medical: Save time and find your commercial fee schedule online.

    Second-pass edits: Learn about improved claim explanations and related policy details.

     

    Premera uses Availity for secure provider portal
    Premera uses Availity as its primary secure portal. Sign in to Availity or register and get training. View our Availity provider FAQ for more details.

    Availity is an independent provider of health information network services that does not provide Blue Cross Blue Shield products or services. Availity is solely responsible for its products and services.

    Visit our Quality and Coding Tools page for quality measure tip sheets, documentation and coding guides, web-based training, and more.

    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.

    Watch previous workshops

    Shared Admin and BlueCard, July 13, 2022

    Premera and Healthcare in 2022, January 19, 2022
    Claims Editing, September 15, 2021
    No Surprises Act    , July 21, 2021

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

    AVAILITY
    Availity Tips and Resources guide
    C3 Claims Editor guide

    ID CARDS
    ID card guide    : View sample ID cards, learn about plans, new networks, copays.

    INDIVIDUAL PLANS

    PCP ROSTER
    PCP Roster user guide    : Learn how to download a roster of our members who've selected a PCP in your office.

    TELEHEALTH
    Telehealth Claim Submission Guide    : Get the details on telehealth services and how to submit claims.

    UPDATING PROVIDER INFO
    Provider Information user guide

    For training and to learn more about providing culturally competent care in Alaska's diverse communities, visit the University of Alaska Anchorage website, Cultural Foundations in Alaska.