Provider News

  • Sign up for Availity webinar trainings today: Be ready before final transition

    Get Premera-specific training to prepare for the September 10 transition of our secure tools.

    Learn more

  • Policy updates


  • Online tools and resources

    Sign up for Availity Webinar Trainings Today: Be Ready Before Final Transition | 8/4/2022

    Get Premera-specific training to prepare for the September 10 transition of our secure tools

    Premera Secure Tools Moving to Availity September 10 | 7/7/2022

    Get a head start and find out what you need to know when using Availity for Premera members

    Premera Secure Tools Move to Availity Starting Mid-September | 6/2/2022

    Find out what you need to know

    Premera Prior Authorizations Moving to Availity | 5/5/2022

    New tool eliminates the need to fax. Find out what you need to know.
  • More online tools and resources news

  • Individual plans

    Updated Individual Plan Tools and Resources Page | 5/5/2022

    We recently added news forms to the Individual Plan Tools and Resources page

    Everything You Need to Know About 2021 Individual Plans | 1/7/2021

    See resources and training guides for 2021 Individual plans.
  • More individual plan news

  • Company updates

    Premera Perspectives: Satya Sarma, Vice President of Medical Management and Population Health | 5/5/2022

    Learn about Premera’s newest leader and her role to identify ways to address the needs of specific communities

    Fighting Substance Use Disorders with Medication-Assisted Treatment | 4/1/2022

    This is the first article in a series highlighting the importance of medication-assisted treatment and breaking down the stigma of substance use disorder

    Change To The Existing Hospital Bill Audit | 2/24/2022

    Medical records must be submitted within 90 days of the request

    Premera Deepens Connection to Communities with County By County Giving Initiative | 12/2/2021

    Grants awarded in every county and borough throughout Washington and Alaska

    Enhanced Claims Editing Implementation | 11/18/2021

    Enhanced claims editing applied to claims processed for payment.

    How YMCA Snohomish County Helped Families During Remote Learning | 11/4/2021

    Premera is proud to work with YMCA of Snohomish County to provide a safe and supportive environment for children in our community.
  • More company updates news

  • High-value care

    Value-Based Care and Premera Provider Relationships | 3/18/2021

    Relationships built on trust, shared data, and analytics can decrease cost of care and health outcomes.

    Payment Models Shift to Value-Based Care | 12/17/2020

    Healthcare organizations and health plans are shifting from care models built around fee-for-service reimbursement to value-based care.
  • More high-value care news

  • Reminders and updates

    Premera Premier Provider Program Introduces Enhancements | 8/4/2022

    Enhancements include robust data for inpatient and outpatient quality measurements, extended review periods, and more

    DataWise: Premera’s Interoperability Program | 8/4/2022

    See how interoperability data sharing can help close gaps and improve health outcomes

    Provider Taxonomy Codes Needed on Claim Forms | 7/7/2022

    Add your specialty taxonomy code to claims to assist in correct editing

    Preventive Services Updates For 2022 | 6/2/2022

    Learn about changes to our preventive care benefits
  • More reminders and updates news

  • Quality programs

    August Care Gap Member Outreach | 8/4/2022

    Learn more about home test kit and well-child checkup outreach for members

    Teaming Up for a Better Member Experience | 8/4/2022

    Premera Quality Programs is working the providers to improve care for our members

    Diabetic Retinal Eye Exam Results Form | 8/4/2022

    Check out this simple tool for providers to document and share Diabetic Retinal Eye Exam (DRE) results

    Annual Risk Adjustment Data Validation Audits | 7/7/2022

    Provider offices may receive a request for medical records from Cognisight or directly from Premera
  • More quality programs news

  • Pharmacy

    COVID-19 Booster Shots for Kids 5-11 Years of Age | 6/2/2022

    Codes and eligibility now available for COVID-19 booster shots for children ages 5-11

    Walgreens Specialty Pharmacy Name Change | 5/5/2022

    New name, same patient-first service

    Clinical Pharmacist will Conduct Medical Benefit Drug Reviews | 12/2/2021

    Starting January 1, Premera clinical pharmacists will be reviewing medical necessity for drugs requested through the medical benefit

    Changes to 2022 Essential Drug Exclusion List | 11/4/2021

    Find out about the changes to the Essential Drug Exclusion List
  • More pharmacy news

  • Dental

    Use “Premera Dental” as the Payer When Using Availity | 7/7/2022

    Learn some handy tips for using Availity’s secure provider website

    Availity Tips for Dental Providers | 2/3/2022

    Learn some handy tips for using Availity’s secure provider website

    Premera Transitions to Availity Secure Portal | 11/18/2021

    Dental providers can now access Availity to check eligibility and benefits and more for Premera members.

    Reimbursement Changing from Preparation Date to Seat Date | 9/16/2021

    Premera/LifeWise is changing payments for certain dental services
  • More dental news

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