Contact Information and Confidentiality Policy

  • Contact us

    General correspondence, including address for submitting claims

    Premera Blue Cross Blue Shield of Alaska
    P.O. Box 91059
    Seattle, WA 98111-9159

    Calypso Overpayment refunds
    (excludes NASCO)
    800-364-2991
    P.O. Box 327
    Mail Stop 229
    Seattle, WA 98111-0327
    Subrogation case management
    888-704-0638
    P.O. Box 327
    Mail Stop 227
    Seattle, WA 98111-0327
    Electronic claims
    (EDI)

    EDI@premera.com
    800-435-2715
    Fax: 425-918-4234
    P.O. Box 327
    Mail Stop 281
    Seattle WA 98111-0327
    Interest-related questions Prompt pay
    800-932-2883

    Contact your Premera team

  • Each contracted provider is assigned to a PNE or PNA at Premera. You can email contracting questions to provider.relationswest@premera.com. The Provider Relations team will assist and can direct you to your PNA as needed. These teams can assist with the following:

    • Policies and procedures
    • Practitioner contracting
    • Network adequacy
    • Your interactions with us
    • Contract status inquiries

    PNRs quickly handle your requests and resolve non-claims issues. Email provider.relationswest@premera.com to review:

    • Panel updates
    • Address changes
    • Tax ID number updates
    • Telephone number changes
    • Clinic opening or closing
    • Malpractice insurance changes
    • Directory copy requests
    • Additions to your clinic
    • Questions about OneHealthPort
    • Questions on a physician/provider mailing
    • Practitioner/dental retirement, etc.
    • Document copy requests (e.g., News Briefs, manuals, etc.)

    Call us at 800-722-4714 and select one of the following options:

    • 0—Speak with an operator
    • 1—Reach the direct extension of a Premera employee
    • 2—Reach Customer Service (claims status, member eligibility and benefits)
    • 3—Reach Care Management or Case Management
    • 4—Reach Physician and Provider Relations
    • 5—Discuss questions or problems with our website
    • 6—Reach personal health support coaching

    Premera Blue Cross Blue Shield of Alaska

    800-562-1011
    Fax: 425-918-5338
    P.O. Box 33932
    Seattle, WA 98133

    Our confidentiality policy protects the confidentiality and privacy of our members' protected personal and medical information by preventing the unauthorized use and disclosure of such information by our associates and business associates.

    Protected Personal Information is all information created or received by the company that identifies or can readily be associated with the identity of an individual, whether oral or recorded in any form or medium, that directly relates to the:

    • Past, present, or future physical, mental, or behavioral health or condition of an individual
    • Past, present, or future genetic information of the individual or their dependent, or relative of either
    • Past, present, or future payment for the provision of healthcare to an individual
    • Provision of healthcare to an individual
    • Past, present, or future finances of an individual, including, without limitation, an individual's name, address, telephone number, Social Security Number, subscriber number, or wage information

    We're committed to maintaining the confidentiality of individuals' protected personal health and financial information (collectively referred to as “protected personal information” or PPI). Premera collects, uses, and discloses PPI solely for routine business functions or as required or permitted by law or regulation. We strictly prohibit the unauthorized disclosure of PPI by our associates and business associates, unless we have first obtained the member's written authorization.

    We understand that you value standards of confidentiality as a healthcare professional. As a contracted physician or provider, you are required to maintain the confidentiality of all PPI concerning any current or former patients (our members). In addition, you are also bound to observe certain state and federal privacy laws. At a minimum, each clinic should have each staff member sign a confidentiality statement upon employment in which the employee acknowledges the importance of maintaining the confidentiality of PPI. This is a Premera office site standard used in our credentialing and recredentialing process.

    The “authorization for treatment” that you obtain from Premera members prior to rendering services, authorizes you to disclose general health information to us. The validity of such an “authorization for treatment” is not limited to 90 days, and such disclosures do not need to be documented in the member's medical chart.

    State and federal privacy laws allow physicians and providers to disclose PPI to Premera without the patient's authorization for payment purposes and healthcare operations such as:

    • Determining eligibility
    • Paying claims
    • Coordinating benefits with other insurance carriers
    • Utilization and medical/dental necessity reviews
    • Healthcare operations activities (e.g., case and care management, quality reviews)

    Any activity undertaken by the company, or by a business associate on behalf of the company, for healthcare operations and payment activities:

    • Carrying out the management functions of the company, examples include: underwriting, actuarial, care management, case management, and quality reviews
    • Obtaining subscription charges
    • Determining or fulfilling its responsibility for coverage under the health plan and for the provision of benefits under the health plan, examples include: member benefit eligibility, payment of member claims, and coordination of member benefits with other insurance carriers or liable third parties