Provider News Archive

  • The Premera Provider News page has moved

    Visit and bookmark our new page to find our latest updates.

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    Learn more about the new experience

  • Policy updates


  • Online tools and resources

    Helping Members Understand How to Make Health Decisions | 11/6/2023

    Decision aids are available to help patients understand their options for healthcare

    Support for You to Improve Health Equity and Patients' Lives | 11/6/2023

    Premera is working to reduce health disparities in marginalized groups

    Time-Saving Availity Tips | 11/6/2023

    Here are the latest tips to help you get the most out of your Availity secure tools

    Availity Tips for Prior Authorization, Referrals, and More | 10/5/2023

    Here are some helpful reminders, thanks to questions we’re hearing from providers
  • 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

    The Premera Provider News Page has Moved | 12/11/2023

    Visit and bookmark our new page to find out about our latest updates and exciting new changes

    Act Now to Receive InstaMed EFT Payments in 2024 | 11/6/2023

    Individual plan network providers may need to update their InstaMed accounts

    Enhancements to Claims Transparency for CERIS Review | 10/6/2023

    Starting October 10, 2023, Premera is providing better transparency for claims under review with CERIS

    InstaMed Account Updates for Individual Plan Providers | 10/5/2023

    Providers with individual plan patients may need to update their InstaMed accounts

    Annual Risk Adjustment Data Validation Audit | 7/6/2023

    Provider offices may receive a request for medical records from Cognisight or directly from Premera

    2023 Provider Survey – Give Us Your Feedback! | 7/6/2023

    Please complete and return this important survey as quickly as possible
  • 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

    Enhancing Accessibility: New Method for Submitting Medical Records | 11/6/2023

    You can now submit medical records for claims processing via fax

    New COVID-19 Vaccines Available | 10/6/2023

    Updated information on COVID-19 vaccines, billing, and codes

    Shining a Light on At-Home Treatment Options for Skin Conditions | 10/5/2023

    Consider at-home photo therapy as a potential treatment option before opting for biologics

    New Edits for First-Pass Claims Editor | 10/5/2023

    Upcoming new edits will enforce Payment Policy and Correct Coding guidelines
  • More reminders and updates news

  • Quality programs

    Premera Programs Help Members Choose High Quality Providers | 11/6/2023

    Learn about our Centers of Excellence and Blue Distinction Specialty Care Programs

    Blood Pressure Coding Can Reduce HEDIS® Medical Record Requests | 10/5/2023

    Add CPT® II codes to patient claims to close gaps in care for patients

    Remind Your Eligible Patients to get Regular Mammograms | 10/5/2023

    Regular screenings lead to better outcomes

    September Care Gap Member Outreach | 9/7/2023

    Members may receive mailings on cancer screening and chronic conditions reminders
  • More quality programs news

  • Pharmacy

    Update to Preventive Services Drug Coverage | 11/6/2023

    Learn about age-specific ranges we’ll be applying to preventive prescription drugs

    Makena and Hydroxyprogesterone Market Withdrawal | 5/4/2023

    The FDA announced the decision to withdraw the approval of Makena and Hydroxyprogesterone caproate injections on April 6, 2023

    Kroger- Express Scripts Termination Reminder | 1/5/2023

    We encourage members to sign in to the Premera member portal to find other local, in-network pharmacy options

    Kroger Removal from Express Scripts Standard Networks | 11/3/2022

    Learn about impacted pharmacies and how it may affect your patients
  • 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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