Provider News

  • Billing telehealth services

    Providers need to bill POS 02 for all telehealth services delivered after September 1.

    Learn more

  • Policy updates

    News

  • Online tools and resources

    Go Online - Provider Customer Service Hours Are Changing | 10/1/2020

    To help adapt to the new hours, customer service will be providing education for our secure online tools.

    Provider Workshop: Eligibility and Benefits | 10/1/2020

    Join our Provider Experience team to learn about our eligibility and benefits tools and resources.

    Help Us Improve the Provider Directory | 9/17/2020

    Tell us how to improve uploading information to Premera’s provider directory.

    Save Time – Go Online! | 8/20/2020

    Use our online tools to save time and eliminate the need for faxing.
  • More online tools and resources news

  • Individual plans

    You Asked, We Listened: Individual Plans Resource Page!

    You Asked, We Listened: Individual Plans Resource Page! | 6/4/2020

    Get everything you need in one resource for Premera individual plans.

    View Individual Plan Deductibles, Benefits, and PCPs | 3/19/2020

    Get tips for the Search Member Eligibility function.

    Incorrect Prefixes Printed for 2020 Individual Plans | 3/19/2020

    Get correct prefixes here.
    Individual Plans are No Longer Using eviCore Healthcare

    Individual Plans are No Longer Using eviCore Healthcare | 3/19/2020

    Learn how to submit a prior authorization for outpatient rehabilitation services.
  • More individual plan news

  • Company updates

    Premera Extends Cost Share Waivers to COVID-19 Testing and Treatment

    Premera Extends Cost Share Waivers to COVID-19 Testing and Treatment | 9/17/2020

    In 2020, Premera members will not pay a cost share for FDA-approved diagnostic testing and treatment for COVID-19.

    Puget Sound Business Journal Names Premera Top 2019 Philanthropist | 9/3/2020

    Premera Social Impact granted or invested across Washington and Alaska to address behavioral health, homelessness, health equity, and health access in rural areas.
    We’re Growing Our Behavioral Health Network!

    We’re Growing Our Behavioral Health Network! | 8/20/2020

    Encourage out-of-network colleagues to join our network.
    Colorectal Cancer Screening: Breaking Down Barriers for Rural Americans

    Colorectal Cancer Screening: Breaking Down Barriers for Rural Americans | 8/6/2020

    Premera is expanding the at-home colorectal cancer screening program.
    New Approach to Reduce E&M Billing Errors

    New Approach to Reduce E&M Billing Errors | 7/16/2020

    Coding Advisor aims to educate and reduce evaluation and management (E&M) billing errors.

    Itemized Bill Review of Facility Claims | 7/2/2020

    Starting August 1, 2020, CERiS will perform itemized bill reviews of facility claims.
  • More company updates news

  • High-value care

  • More high-value care news

  • Reminders and updates

    Relocating? Learn About Continuing Out-of-State Telehealth Services | 10/1/2020

    If your practice moves out of state, it’s possible we can continue to work together.

    Complete the Provider Network Survey | 10/1/2020

    Tell us how to improve our network information.
    Billing Telehealth Services

    Billing Telehealth Services | 10/1/2020

    Providers need to bill POS 02 for all telehealth services delivered after September 1.

    Updates to Claims Editor/What If Tool | 9/17/2020

    Check your claim in the What If Tool to identify potential edits.
  • More reminders and updates news

  • Quality programs

    Well-Baby Checkups: Parent/Guardian Education | 10/1/2020

    We’re taking a new approach to educating parents/guardians on the recommended checkup and vaccine schedule.

    Helping Members with Asthma Manage Their Condition | 10/1/2020

    Premera is sending an educational mailer to help members with asthma.

    A New Approach to Engaging Members with Multiple Care Gaps | 9/17/2020

    Members will receive scorecards for their open and closed care gaps.

    Home Test Kits for Members in Alaska and Washington | 9/17/2020

    Annual FIT and HbA1c home test kit program launches in mid-September.
  • More quality programs news

  • Pharmacy

    Recalls on DDAVP, Desmopressin, and Stimate Nasal Sprays | 9/17/2020

    Find out how the recall may affect your patients.

    Fertility Drug Follistim Will Require Prior Authorization | 9/3/2020

    Learn more about this change starting in October 2020.

    Recalls on all Metformin batches from Lupin Pharmaceuticals Inc. and AvKARE | 8/6/2020

    Learn more about the recall and how it may affect your patients.

    Voluntary Recall for Metformin Hydrochloride Extended-Release Tablets | 7/2/2020

    Find out about FDA recall by Apotex Corporation for metformin hydrochloride ER 500 mg tablets
  • More pharmacy news

  • Dental

    Members Received New ID Numbers and Cards | 7/16/2020

    2,000 dental members in Alaska received new subscriber number.

    Premera Will Not Cover the Added Cost of PPE | 6/4/2020

    Premera will not cover the added cost of the PPE on dental claims.
  • More dental news

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