Claims Information and Appeals

  • In-network providers file claims for you directly. However, if you receive care from a provider outside of the BlueCard network you may have to pay the provider for the service and file a claim for reimbursement.

    To file a claim

    1. Complete and sign a member submitted claim form.
    2. Attach the itemized bill from the provider for the covered service.
    3. Make a copy for your records.
    4. Mail your claim to the address shown on the claim form.

    Appeals process

    You can request a review if you disagree with how a claim was paid as it is described on your Explanation of Benefits (EOB). Premera Blue Cross must receive your request to review a claim within 180 days after you receive your EOB. You can either call Customer Service at 877-995-2696 or submit a written request. If you suspect fraud in the processing of your claim, such as payments that were made for services you didn't receive, please call the Anti-Fraud Hotline at 800-848-0244.

    To submit a written request for appeal, write to:

    Premera Blue Cross
    ATTN: Claims Appeals
    P.O. Box 91102
    Seattle, WA 98111-9202

    Special language needs

    Language Interpreter Service

    Premera offers a phone line to members with special language needs. Please call Premera Blue Cross Customer Service at 877-995-2696. We are open 24 hours daily with the exception of holidays. We will connect you with an interpreter.

    Línea de interpretación disponible

    Premera ofrece una línea telefónica para miembros con necesidades especiales de idioma. Por favor llame a Premera Blue Cross al 877-995-2696. Abierto las 24 horas del día, a excepción de los días festivos.. Le comunicaremos con un intérprete.