Company Updates - Provider News

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

Introducing Rx Savings Solutions | 6/1/2023

A tool to help your patients control their prescription drug costs

Change of Claim Editor being Implemented for Professional and Facility Claims | 4/6/2023

ClaimsXten® will be the new claim editing system to enforce correct coding and billing practices

AIM Specialty Health Transitioned to Carelon | 4/6/2023

This is a name change only and will be no changes to the way providers submit requests or the contact information to check status

Supporting Providers in the Health Equity Journey to Improve Patients’ Lives | 10/6/2022

Premera is working to reduce disparities in health and its determinants that adversely affect excluded or marginalized groups

Premera Invests $3 Million to Bridge Gaps in Mental Health and Health Equity Access | 9/1/2022

Premera announced $3 million in grants and sponsorships to 20 organizations across Washington and Alaska

Premera Perspectives: Satya Sarma, Vice President of Medical Management and Population Health | 5/5/2022

Learn about Premera’s newest leader and her role to identify ways to address the needs of specific communities

Fighting Substance Use Disorders with Medication-Assisted Treatment | 4/1/2022

This is the first article in a series highlighting the importance of medication-assisted treatment and breaking down the stigma of substance use disorder

Change To The Existing Hospital Bill Audit | 2/24/2022

Medical records must be submitted within 90 days of the request

Premera Deepens Connection to Communities with County By County Giving Initiative | 12/2/2021

Grants awarded in every county and borough throughout Washington and Alaska

Enhanced Claims Editing Implementation | 11/18/2021

Enhanced claims editing applied to claims processed for payment.

How YMCA Snohomish County Helped Families During Remote Learning | 11/4/2021

Premera is proud to work with YMCA of Snohomish County to provide a safe and supportive environment for children in our community.

Avoid Claim Edits and Denials with These Helpful Tips | 9/2/2021

Upcoming expansion of claim editing affects professional and facility claims

Availity Premera Provider Portal Launch Coming Soon | 8/5/2021

Premera will have a single-source solution for all our providers through Availity’s secure provider portal

Facility Claim Editing Expansion | 7/1/2021

Starting this fall, Premera is expanding facility claim editing

Enhanced Claim Editing for Professional and Facility Claim Editing | 7/1/2021

Premera is enhancing professional and facility claim editing to ensure payment accuracy

Premera Invests in Rural Health | 4/1/2021

Premera granted $4.7 million to establish the Rural Nursing Health Initiative to place current students in rural practices in Washington state.

Premera Team Reunites Member with Family | 3/18/2021

Working with providers and medevac teams, Premera was able to help a member return to her family.

Premera Awards $850,000 to Organizations Working Toward Health Equity | 3/4/2021

Premera Blue Cross announced grants made to three non-profit organizations focused on improving health equity in support of the Black community.

COVID-19 Updates | 1/21/2021

Our FAQ is updated regularly with the most accurate information.

Rural Facilities Capital Grants Partnership Fund | 10/15/2020

Premera and Empire Health Foundation have created a fund to support the advancement of healthcare in rural communities.

Premera Extends Cost Share Waivers to COVID-19 Testing and Treatment | 9/17/2020

In 2020, Premera members will not pay a cost share for FDA-approved diagnostic testing and treatment for COVID-19.

Puget Sound Business Journal Names Premera Top 2019 Philanthropist | 9/3/2020

Premera Social Impact granted or invested across Washington and Alaska to address behavioral health, homelessness, health equity, and health access in rural areas.

We’re Growing Our Behavioral Health Network! | 8/20/2020

Encourage out-of-network colleagues to join our network.

Colorectal Cancer Screening: Breaking Down Barriers for Rural Americans | 8/6/2020

Premera is expanding the at-home colorectal cancer screening program.

New Approach to Reduce E&M Billing Errors | 7/16/2020

Coding Advisor aims to educate and reduce evaluation and management (E&M) billing errors.

Itemized Bill Review of Facility Claims | 7/2/2020

Starting August 1, 2020, CERiS will perform itemized bill reviews of facility claims.