Adverse Determination Annual Statistics - Annual disclosure of the number of Adverse Determinations sent to external review for final determination
Claims Editor Significant Edits - A one-page guide to edits resulting in a reduction in payment
Radiology requests for CT, MRI, MRA, PET,and Nuclear Cardiology must be submitted through AIM Specialty Health. Learn more.
Alpha Plan Prefixes
Explanation of Payment Codes - View or print a list of the most current Explanation of Payment (EOP) Message Codes
Health Savings Accounts (HSAs) - Learn how to manage members' HSA transactions.
Service Teams - One page downloadable guide to Premera resources for providers