Online Tools Available to Check Claims and Eligibility

  • April 16, 2020

    We’re continually adding user guides and resources to help you and your office team best serve our members.

    See how our online tools work with our user guides that give you step-by-step instructions and screenshots. Share these guides with your office staff today:

    • Medical eligibility and benefits: Get medical member eligibility and benefit information, including deductible and benefit limit accumulators.
    • Prior authorization: See if a code needs medical necessity review, submit a review, or check the status of an existing review.
    • Claims and payments: Get claim status, detailed payment information, and download your explanation of payments (EOPs).

    If you have any questions or feedback, email provider.relationswest@premera.com.

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