Find provider resources, including online tool user guides, forms, and more.
Our user guides include step-by-step instructions with screenshots showing you how each online tool works. Share them with your office staff and let us know if you have feedback.
BlueCard Pre-Service Review Router - Submit online pre-service review requests for BlueCard members via their home plan's website.
Claims and Payments - Get claim status, detailed payment information, and even download your Explanation of Payments (EOPs).
Claims Editor/What If Tool - Test billing scenarios (for professional services only) and code combinations with our claims editing software that displays specific coding rationale.
Dental Eligibility and Benefits - Get dental member eligibility and benefit information, including deductible and benefit limit accumulators.
Electronic Funds Transfer - Enroll in Electronic Funds Transfer (EFT) for your Premera/affiliate payments.
Explanation of Payments - Look up, print, and download PDFs of your Explanation of Payments (EOPs)
Medical Eligibility and Benefits - Get medical member eligibility and benefit information, including deductible and benefit limit accumulators.
PCP Roster - Download a roster of our members who've selected a PCP in your office.
Prospective Review - See if a code needs medical necessity review, submit a review, or check the status of an existing review.
Real-Time Estimates - Estimate patient costs for professional and dental services, and submit claims in real-time (medical only, upon request).
To use these online tools, please log in to our secure provider site.