Provider News

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    Resources and tips for completing credentialing applications.

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  • Policy updates

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  • Online tools and resources

    Join Our Network

    Join Our Network | 5/21/2020

    Resources and tips for completing credentialing applications.

    Online Tools Available to Check Claims and Eligibility | 4/16/2020

    Save time (and a phone call) using our online tools.

    Online Coding Resources | 3/12/2020

    Online tutorials and user guide help improve coding.

    Online Tools and Training Available | 2/20/2020

    Tips and trainings for day-to-day transactions.
  • More online tools and resources news

  • Individual plans

    Electronic Funds Transfer and Electronic Remittance Advice Vendor for Our 2020 Individual Plans

    Electronic Funds Transfer and Electronic Remittance Advice Vendor for Our 2020 Individual Plans | 5/5/2020

    Want your 2020 claims paid faster? Make sure you’ve sign up with InstaMed for EFT.

    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.

    New Claims Mailing Address for 2020 Individual Plans | 3/19/2020

    Tips for processing claims for 2020 Individual Plans.
  • More individual plan news

  • Company updates

    CPT Lab Test Codes for Antibody Tests | 5/21/2020

    It’s critical for providers to correctly code these claims.

    New Network for Alaska | 5/21/2020

    Yukon network starts in September.
    Expanded Telehealth for Mental Health and Substance Use Disorder

    Expanded Telehealth for Mental Health and Substance Use Disorder | 5/7/2020

    Three additional in-network providers to help support members during the COVID-19 pandemic.

    Advance Payments for Providers Now Available | 5/7/2020

    The program allocates $100 million in advance payments for providers.

    Workers Compensation for Alaska’s First Responders | 5/7/2020

    First responders who are diagnosed with COVID-19, are presumed to have contracted it on the job and workers’ compensation will apply.
    Advance Payment to Providers During COVID-19 Crisis

    Advance Payment to Providers During COVID-19 Crisis | 5/7/2020

    Premera is offering advance payment to eligible providers to help with financial support during the COVID-19 crisis.
  • More company updates news

  • High-value care

    Blue Distinction Centers for Substance Use Treatment and Recovery | 12/5/2019

    Premera has 13 providers designated as Centers of Excellence in substance use treatment and recovery.

    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

    Update Your Information in Our Provider Directory | 5/21/2020

    Make sure patients can find you online.

    HEDIS Measure: Colorectal Cancer Screening | 5/7/2020

    Remind your patients of the importance of colorectal cancer screening.

    Co-surgery Modifier Enforcement | 5/7/2020

    Co-surgeons billing on the same procedure should submit their claims with a modifier.

    Robotic Surgery Edits Expand to Facility Claims | 4/16/2020

    The robotic surgery and computer assisted navigation payment policy is expanding to facility claims.
  • More reminders and updates news

  • Quality programs

    Information on Well-Child Checkups Sent to Members | 3/5/2020

    Some FEP members will receive information about well-child checkups. Here’s what you need to know.

    HEDIS Quality Measure Changes | 2/20/2020

    The National Committee for Quality Assurance released changes for select HEDIS® Quality measures.

    Knowing Where to Go: ER Alternatives | 1/16/2020

    Helping members be aware of emergency room alternatives.

    Medical Records Review: February 2020 | 1/1/2020

    Premera and COTIVITI will be reaching out for a HEDIS medical record review.
  • More quality programs news

  • Pharmacy

    FDA Alert: EpiPen Auto-Injector Errors | 5/7/2020

    EpiPen and EpiPen Jr. auto-injectors may have a delayed injection or aren’t properly injecting.

    FDA Recall on Ranitidine Products | 5/7/2020

    What you need to know about patients taking prescription or over-the-counter ranitidine.

    Institute for Clinical and Economic Review: Our Pharmacy Watchdog | 1/16/2020

    How is Institute for Clinical and Economic Review (ICER) is helping health plans make decisions?

    Voluntary Recall on Ranitidine | 12/19/2019

    Another manufacturer has recalled Ranitidine Tablets and Ranitidine Syrup.
  • More pharmacy news

  • Dental

    Connecting Dental and Healthcare | 11/21/2019

    Learn more about Premera approach to dental care.

    Resources Available for Dental Providers | 11/21/2019

    Need a refresher on the responsibilities and requirements for Premera dental providers?

    Reducing the Risk of Opioid Addiction | 11/21/2019

    Learn about our opioid policies to help prevent addiction.
    Expanding our Dental Network to Meet Member Needs

    Expanding our Dental Network to Meet Member Needs | 11/7/2019

    Premera and United Concordia Dental (UCD) will work together to meet the needs of our growing dental membership.
  • More dental news

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