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
Advanced Imaging Services subject to review:
Radiology requests for CT, MRI, MRA, and Nuclear Cardiology must be submitted through
AIM Specialty Health
Alpha Plan Prefixes
Clinical Review Code List
Clinical Review Code List Monthly Updates
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.
Interactive Voice Response (IVR) - Information and navigation tips for Premera’s automated phone system
Provider Online Services Features Guide
Service Teams - One page downloadable guide to Premera resources for providers
Terms and Conditions - Find Terms and Conditions for Blue Cross Blue Shield Medicare Advantage PFFS (Private-Fee-For-Service) members.