Provider News Archive

Helping Members Understand How to Make Health Decisions | 11/6/2023

Decision aids are available to help patients understand their options for healthcare

Support for You to Improve Health Equity and Patients' Lives | 11/6/2023

Premera is working to reduce health disparities in marginalized groups

Time-Saving Availity Tips | 11/6/2023

Here are the latest tips to help you get the most out of your Availity secure tools

Availity Tips for Prior Authorization, Referrals, and More | 10/5/2023

Here are some helpful reminders, thanks to questions we’re hearing from providers

Updated Individual Plan Tools and Resources Page | 5/5/2022

We recently added news forms to the Individual Plan Tools and Resources page

Everything You Need to Know About 2021 Individual Plans | 1/7/2021

See resources and training guides for 2021 Individual plans.

The Premera Provider News Page has Moved | 12/11/2023

Visit and bookmark our new page to find out about our latest updates and exciting new changes

Act Now to Receive InstaMed EFT Payments in 2024 | 11/6/2023

Individual plan network providers may need to update their InstaMed accounts

Enhancements to Claims Transparency for CERIS Review | 10/6/2023

Starting October 10, 2023, Premera is providing better transparency for claims under review with CERIS

InstaMed Account Updates for Individual Plan Providers | 10/5/2023

Providers with individual plan patients may need to update their InstaMed accounts

Annual Risk Adjustment Data Validation Audit | 7/6/2023

Provider offices may receive a request for medical records from Cognisight or directly from Premera

2023 Provider Survey – Give Us Your Feedback! | 7/6/2023

Please complete and return this important survey as quickly as possible

Value-Based Care and Premera Provider Relationships | 3/18/2021

Relationships built on trust, shared data, and analytics can decrease cost of care and health outcomes.

Payment Models Shift to Value-Based Care | 12/17/2020

Healthcare organizations and health plans are shifting from care models built around fee-for-service reimbursement to value-based care.

Enhancing Accessibility: New Method for Submitting Medical Records | 11/6/2023

You can now submit medical records for claims processing via fax

New COVID-19 Vaccines Available | 10/6/2023

Updated information on COVID-19 vaccines, billing, and codes

Shining a Light on At-Home Treatment Options for Skin Conditions | 10/5/2023

Consider at-home photo therapy as a potential treatment option before opting for biologics

New Edits for First-Pass Claims Editor | 10/5/2023

Upcoming new edits will enforce Payment Policy and Correct Coding guidelines

Premera Programs Help Members Choose High Quality Providers | 11/6/2023

Learn about our Centers of Excellence and Blue Distinction Specialty Care Programs

Blood Pressure Coding Can Reduce HEDIS® Medical Record Requests | 10/5/2023

Add CPT^® II codes to patient claims to close gaps in care for patients

Remind Your Eligible Patients to get Regular Mammograms | 10/5/2023

Regular screenings lead to better outcomes

September Care Gap Member Outreach | 9/7/2023

Members may receive mailings on cancer screening and chronic conditions reminders

Update to Preventive Services Drug Coverage | 11/6/2023

Learn about age-specific ranges we’ll be applying to preventive prescription drugs

Makena and Hydroxyprogesterone Market Withdrawal | 5/4/2023

The FDA announced the decision to withdraw the approval of Makena and Hydroxyprogesterone caproate injections on April 6, 2023

Kroger- Express Scripts Termination Reminder | 1/5/2023

We encourage members to sign in to the Premera member portal to find other local, in-network pharmacy options

Kroger Removal from Express Scripts Standard Networks | 11/3/2022

Learn about impacted pharmacies and how it may affect your patients

Use “Premera Dental” as the Payer When Using Availity | 7/7/2022

Learn some handy tips for using Availity’s secure provider website

Availity Tips for Dental Providers | 2/3/2022

Learn some handy tips for using Availity’s secure provider website

Premera Transitions to Availity Secure Portal | 11/18/2021

Dental providers can now access Availity to check eligibility and benefits and more for Premera members.

Reimbursement Changing from Preparation Date to Seat Date | 9/16/2021

Premera/LifeWise is changing payments for certain dental services