Provider News

  • New 2020 Individual Plans

    Network name change for Individual plans.

    Learn more

  • Policy updates

    News

  • Online tools and resources

    Talkspace Now Available for More Members | 9/19/2019

    Behavioral health benefit expands to cover psychiatry and additional states.

    Personalized Support Program for Patients | 9/5/2019

    Did you know there is no cost, one-on-one support available for patients?

    Help Patients Find You! | 8/15/2019

    Use online tools to update your Provider profile.

    We Are Breaking Down the Stigma of Behavioral Health | 6/6/2019

    Digital behavioral health resource center is now available with articles, videos, and resources.
  • More online tools and resources news

  • Company updates

    New 2020 Individual Plans

    New 2020 Individual Plans | 9/19/2019

    Network name change for Individual plans.

    Medical Policies and Claim Editing System for 2020 Individual Plans | 9/19/2019

    Evolent Health will begin managing many of the operational responsibilities for our Individual plans.
    Premera Awards $2.1 million in Community Grants Focusing on Behavioral Health

    Premera Awards $2.1 million in Community Grants Focusing on Behavioral Health | 9/5/2019

    Grants were made to seven nonprofit organizations to expand housing services for underserved communities.

    Premera Invests $10 Million in Rural Health | 8/15/2019

    We are working to expand health care access and improve quality of care in rural communities.
    Premera and Vera Whole Health Bring New Primary Care Facilities to Spokane

    Premera and Vera Whole Health Bring New Primary Care Facilities to Spokane | 8/15/2019

    New primary care centers will add access and care options to members.

    Are You a New Contracted Provider? | 7/18/2019

    Here are some tools to help you serve your patients.
  • More company updates news

  • High-value care

    Premera Offering Grand Rounds Expert Service to Customers | 2/21/2019

    What you need to know if a patient requests a second opinion from Grand Rounds.
    Looking for Specialty Care Referrals That Are High-Quality and Cost Efficient?

    Looking for Specialty Care Referrals That Are High-Quality and Cost Efficient? | 2/7/2019

    Premera’s Blue Distinction Specialty Care designations can help.

    Value-Based Specialty Care and Our Customers | 1/17/2019

    Together we can change the way customers choose specialty care providers.

    Value-Based Payment Models | 11/15/2018

    Learn more about the shift to a model that rewards high-quality, cost efficient care.
  • More high-value care news

  • Reminders and updates

    When Do You Bill an “Add-On” Code? | 9/19/2019

    Add-on codes are “add-ons” not a Primary service.

    Can I Bill a Consultation Code? | 9/19/2019

    Premera does not reimburse outpatient and inpatient consultation codes.

    Updates for the Find a Doctor Tool | 9/19/2019

    Is your information accurate?
    Provider Directory Survey

    Provider Directory Survey | 9/19/2019

    This survey will help members help people find providers that offer Medication-Assisted Treatment.
  • More reminders and updates news

  • Quality programs

    Women’s Care Gap Mailing Campaign: Cervical and Breast Cancer Screenings | 9/5/2019

    Premera members received cancer screening reminders in August.
    Upcoming Mailing Campaign: HbA1c Testing for Patients with Diabetes

    Upcoming Mailing Campaign: HbA1c Testing for Patients with Diabetes | 7/18/2019

    Premera members with diabetes will receive a reminder to receive a Hemoglobin A1c test

    Appointment Scheduling for Complex or Chronic Conditions | 7/18/2019

    Premera’s Quality Member Engagement team is helping members to schedule important appointments.

    HEDIS Quality Measure: Adult Body Mass Index Assessment | 6/20/2019

    Documenting weight and height isn’t enough. Find out what else you need to calculate.
  • More quality programs news

  • Pharmacy

    Can You Help Your Patients Save Money? | 9/19/2019

    Check out less expensive options for ephedrine medications.

    Coverage Changes for Victoza | 9/5/2019

    What you need to know about upcoming edits for Victoza.

    What Is the Pharmacy Pre-Approval Program? | 8/1/2019

    Learn about the pharmacy pre-approval program review process.

    Coverage Changes for Lorzone and Generic Chlorzoxazone Tablets | 6/20/2019

    Pre-approvals needed starting July 1.
  • More pharmacy news

  • Dental

  • More dental news

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