Provider News

  • Policy updates

    News

  • Online tools

    A New Look for My Premera | 4/6/2017

    Watch for a new landing page later this month.

    Share Your Feedback About Our Website | 4/6/2017

    Survey now available on secure provider landing page.

    Upload Medical Records Instead of Faxing | 2/1/2017

    Send medical records using prospective review tool.

    Check Claim Status Online | 2/1/2017

    Learn how to check claim status online for timely information.
  • Company updates

    Phone Audit by Pacific Market Research | 4/20/2017

    You may receive a call from Pacific Market Research to verify your provider directory information.

    Anti-Cancer Drug Legislation | 4/6/2017

    Learn about changes to member costs for self-administered medications.

    Change for Claims Requiring Medical Records | 4/6/2017

    Claims will be denied rather than pending.

    Shared Decision-Making Resources | 3/2/2017

    New tools help our customers make better-informed health decisions.

    ICD-10 CM Diagnosis Coding Tips | 3/2/2017

    Choose the right codes for newborn, infant, and child health examinations.

    Coding Update for Outpatient Lab Tests | 3/2/2017

    Modifier L1 for hospital outpatient lab tests is no longer valid.
  • Reminders and resources

    Contact Information for Clinical Appeals | 4/20/2017

    For faster service, send your appeal to the right fax number.

    Coordination of Benefits Tip | 4/20/2017

    For timely claims processing, avoid highlighter pen.

    Changes to Physical and Occupational Therapy Guidelines | 3/2/2017

    eviCore has updated its clinical guidelines for physical and occupational therapy services.

    Changes to Massage Therapy Guidelines | 3/2/2017

    See a summary of updates to eviCore’s massage therapy guidelines.
  • Quality programs

    Out-of-area Medical Records Requests | 3/2/2017

    Find out more about medical records requests from other BCBSA plans.

    Access to Practitioners | 3/2/2017

    Learn about our annual research on practitioner appointment accessibility and our related policy.

    HEDIS Requests Begin in February | 2/1/2017

    Verscend requesting HEDIS data for Premera customers.

    Improving Medical and Behavioral Health Collaboration | 1/26/2017

    2016 annual survey shows improved collaboration, opportunity for better patient care.
  • Pharmacy

    Pharmacy Prior Authorization Edit Expansion Program | 4/7/2017

    View the latest drugs and their related policies for our prior auth program.

    New Epinephrine Pen Options | 4/6/2017

    Plan now for EpiPen refills.

    Differin Gel Now Over-The-Counter | 4/6/2017

    Learn about another opportunity to manage the high cost of drugs for patients.

    Opioid Quantity Limit Prior Authorization | 4/6/2017

    Get details for this new prior authorization, based on CDC recommendations.
  • Dental

    Dental Claims Processing Change | 4/6/2017

    Get details about the change to provider liability for certain dental claims.
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