Provider News

  • Policy updates

    News

  • Online tools and resources

    Access Premera.com for Complete Dental and Vision Member Benefits | 7/19/2018

    Dental and vision providers: Sign up for secure access today to get member benefits info online.

    Spend Less Time Resubmitting Claims! | 6/21/2018

    Cleaner claims mean timely payment…learn how in our new video!

    Premera Vision Benefits Now Available Online | 4/19/2018

    Now you can get all the vision info you need online.

    Access Prior Authorization Requirements Online | 4/19/2018

    If you submit prior authorization requests, you’ll want to know about improvements to our tool!
  • More online tools and resources news

  • Company updates

    Premera Acquires Soundpath Health Medicare | 7/19/2018

    Acquisition doubles Premera’s Medicare Advantage member population.

    Premera and Emerging Cell/Gene Therapies | 6/7/2018

    Oncology practices and eye specialists: learn about our approach to CAR T-cell and gene therapies.

    Flexible Network Begins January 2019 | 5/3/2018

    If you’re with a hospital or ambulatory surgical center, you’ll want to know about this national Blue Cross Blue Shield network that evaluates providers on cost and quality.

    Cost by Region for Brain MRI | 5/3/2018

    Compare costs of brain MRIs in your region.

    Premera Organizational Announcement | 5/3/2018

    Learn about changes in Premera leadership.

    Costs by Region – Lab Tests | 4/5/2018

    How much do two common lab tests cost in your region?
  • More company updates news

  • High-value care

    Costs by Region – Knee Arthroscopy and Knee Replacement | 7/19/2018

    Just how costly are these two common knee procedures?

    Costs by Region – CT Lower Back without Contrast | 6/7/2018

    Learn how much a CT scan costs in Fairbanks and Anchorage.
  • More high-value care news

  • Reminders and updates

    Clinical Reviews for Sleep Studies | 7/19/2018

    Do you know how to complete required clinical reviews for PAP devices, oral appliances, and sleep and titration studies?

    Diabetic Retinopathy Screenings | 7/19/2018

    In-home screening program for eye care begins in September.

    Physical and Occupational Therapy Code Limits | 7/19/2018

    To avoid claims edits, review the Payment Policy on Physical and Occupational Therapy services.

    Facility Claims Edits Expanding | 7/19/2018

    We’re enhancing the Facility Claims Editor to capture errors and omissions in facility claims.
  • More reminders and updates news

  • Quality programs

    Watch for Annual CMS Risk Adjustment Data Validation Audit This Summer | 7/19/2018

    You may receive a request to submit medical records for this audit.

    HEDIS Quality Measure: Readmissions | 7/19/2018

    Do you know there are free resources to help reduce patient readmissions?

    Take Accurate Blood Pressure Readings to Comply with HEDIS | 7/19/2018

    Take accurate readings and comply with the HEDIS Controlling High Blood Pressure measure.

    Major Depressive Disorder (MDD) and Medical Record Requirements | 6/21/2018

    Is your team documenting MDD correctly?
  • More quality programs news

  • Pharmacy

    Changes to Sildenafil Prescriptions | 7/19/2018

    Premera is requiring a prior authorization for certain dosages starting August 1, 2018.

    Coverage for Lidocaine Products | 7/19/2018

    Your patients need to switch to a generic alternative of Lidocaine starting September 4, 2018.

    Premera Isn’t Covering Brand Topical Steroids | 7/19/2018

    Your patient will need to switch to a generic alternative starting September 4, 2018.

    Pharmacy Prior Authorization Edit Expansion Program July 2018 | 7/5/2018

    View the latest drugs and their related policies for our prior auth program.
  • More pharmacy news

  • Dental

    Access Premera.com for Complete Dental and Vision Member Benefits | 7/19/2018

    Dental and vision providers: Sign up for secure access today to get member benefits info online.

    Dentists Can Reduce Risk of Opioid Addiction | 4/19/2018

    Did you know that dentists are the most prevalent prescribers of opioids for teens?

    Premera Promotes Preventive Dental Care | 4/19/2018

    We’re reaching out to members who haven’t had preventive dental care recently.

    A Change to Dental Anesthesia Claims | 4/19/2018

    Dental office teams: you’ll want to know about this change to anesthesia claims, beginning with claims received May 1.
  • More dental news

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