Claims

  • How to get your doctor bills paid

    When you see an in-network doctor, dentist, or other healthcare provider, they will submit the bill to us. That's called a claim. You might also receive a bill from your provider, but wait to hear from us before paying it.

    1. We pay our portion to your healthcare provider. We'll pay according to your plan then send you an explanation of benefits (EOB) that explains the cost breakdown and how your claim was processed.
    2. Each time you visit a healthcare provider and file a claim, you receive an Explanation of Benefits (EOB) which explains how your claim, or the request for payment, was processed. Instead of getting paper explanations, you can get them online in your secure Premera account. We'll hold onto them, so you don't have to remember where you put a paper copy.

    If you saw an out-of-network provider or paid up front for your care or prescriptions, you can submit a claim yourself.

    To file a claim

    1. Complete a claim form.
    2. Attach an itemized bill from the provider for the service.
    3. Make a copy for your records.
    4. Mail your claim to Premera Blue Cross, P.O. Box 91059, Seattle, WA 98111-9159

    Go paperless

    Instead of getting paper EOBs, you can get them digitally in your online account. We will email you when a new EOB is ready. Then we'll hold onto them for two years, so you don't have to remember where you put a paper copy.

    Family member EOBs

    Family members 13 and older can create their own online accounts and can choose whether parents or their spouse can see all claims or only non-sensitive claims.

    The default setting is that spouse or parents will see non-sensitive claims. Sensitive claims have to do with any diagnosis or procedure that's related to genetic information, chemical dependency, mental health, reproductive health, pregnancy, sexually transmitted diseases, HIV, and AIDS.

    To change settings, sign into or create an online account and select Claims, then Privacy Settings in the left menu.