Provider News

  • Policy updates


  • Online tools

    Making Healthcare Work Better | 8/17/2017

    Updated eligibility and benefits tool and new code-check feature.
    Clinician Overview

    Clinician Overview | 6/15/2017

    Online learning helps newly-hired clinicians learn about Premera and insurance, in about 10 minutes.

    Changes to Prospective Review Web Page | 6/13/2017

    Prospective review will be called prior authorization, plus new locations for links.

    Eligibility and Benefits Improvements | 6/1/2017

    See renewal information and easily find the patient’s primary care provider.
  • Company updates

    Digital ID Card | 7/20/2017

    Premera customers can now access their ID card on their phone, by email, and more.

    Managing High Cost Prescriptions | 7/6/2017

    Kits and combination packs can inflate costs of medication by as much as 2000%.

    New Maternity App for Expecting Mothers | 7/6/2017

    Integrated app enables early identification and intervention.

    Advanced Imaging Reconsideration | 6/1/2017

    In late June, providers will have 10 calendar days to request advanced imaging reconsideration through AIM, Premera’s partner.

    Changes to Imaging Retrospective Review | 6/1/2017

    Learn about a new and faster process for submitting imaging claims for retrospective review.

    ACA Possible Changes: Premera’s View | 5/18/2017

    Lean about Premera’s perspective on possible changes to the Affordable Care Act.
  • Reminders and resources

    Billing Unlisted Codes | 7/20/2017

    Avoid denials by supplying documentation to support any unlisted or miscellaneous code billed.

    Outpatient Cost-Sharing | 7/20/2017

    Providers may collect outpatient cost-sharing at the time of service.

    Update your Premera Fax Numbers | 7/20/2017

    Confirm you have current fax numbers and other contact information for Premera.

    New HCPCS Code for Kyleena | 7/20/2017

    Know the correct code for the contraceptive device, effective July 1, 2017.
  • Quality programs

    Chlamydia Screening in Women | 7/20/2017

    Learn how to improve care and close care gaps, while meeting a challenging quality measure.

    New Member Engagement Program | 6/1/2017

    Learn how Premera engages your patients to receive timely care.

    Out-of-area Medical Records Requests | 3/2/2017

    Find out more about medical records requests from other BCBSA plans.

    Access to Practitioners | 3/2/2017

    Learn about our annual research on practitioner appointment accessibility and our related policy.
  • Pharmacy

    Brand-Name Contraceptives | 8/17/2017

    The pharmacy formulary exception request form now includes a section for brand-name contraceptives.

    Pharmacy Prior Authorization Edit Expansion Program | 6/29/2017

    View the latest drugs and their related policies for our prior auth program.

    Epinephrine Pen Generics – Patient Education | 6/14/2017

    Use these flyers to help your patients learn about identical, lower-cost options.
    New Epinephrine Pen Options

    New Epinephrine Pen Options | 4/6/2017

    Plan now for EpiPen refills.
  • Dental

    Sleep Apnea Billing | 8/17/2017

    Learn key information about submitting claims for oral appliances.

    Dental Fee Schedules | 5/18/2017

    Learn how, when, and why we review dental fee schedules.

    Dental Claims Processing Change | 4/6/2017

    Get details about the change to provider liability for certain dental claims.
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