April 16, 2020
Premera Blue Cross is here to support members, employers, and healthcare providers during the coronavirus (COVID-19) outbreak.
This FAQ can help answer your questions and is updated regularly to provide you with the most accurate information.
- Premera is offering advance payments to eligible providers to help with financial support during the COVID-19 crisis. The program allocates up to $100 million in advance payments for office visits to primary care providers, specialists, dentists, and behavioral health providers providing services to our fully-insured members. To start the application process, complete the screening questionnaire. For more information about criteria for eligibility, review the FAQ.
- Recoupment of overpayments will be delayed during the emergency order for most Premera lines of business. Recoupment will continue for individual, Medicare Advantage, and BlueCard host claims overpayments.
- Premera is following CMS guidance on telehealth payments during the COVID-19 crisis.
Providers who normally bill POS 11 for a patient in-office visit should continue to use POS 11 for telehealth visits and the procedure code appended with either modifier 95 or GT (note that GT can’t be used for a Medicare claim). This change is in effect through June 30, 2020, per CMS guidance. We’ll be reviewing claims back to March 6, 2020, and will remit any additional funds due.
If you have health plan questions not covered in these resources, call our customer service team at the number on the back of the member ID card, or your provider network team.