• Claims

    Each time you visit a healthcare provider and file a claim, you receive an Explanation of Benefits (EOB) which explains how your claim was processed. Instead of getting paper EOBs, you can get them online inside your secure account.

    To view your EOBs online you’ll need to register. After registering you’ll be able to:

    • View your most recent claims 
    • Check your current deductible and benefits limits
    • View your current plans and benefit details
    • Search claims up to two years prior

    How to Submit a Non-Preferred Provider Claim

    When you see a provider or use a pharmacy outside of the network, you have to submit the claim yourself after paying for the service up front (preferred providers submit the claim for you).

    To file a claim 

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

    Request a Claim Review

    To receive a review of your claim, call Premera Partner Services at 877-728-9020. You must make your request within 180 days after you receive your EOB. You can also submit a request in writing.

    Include a copy of the EOB in question and any other documentation that may support your inquiry. Please send the request to:

    Premera Blue Cross
    ATTN: Member Appeals
    P.O. Box 91102 MS 123
    Seattle, WA 98111-9202
     

    Once we receive your request, we’ll send you more details about the review process.