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.
To view your EOBs online, you’ll need to register. After registering you’ll be able to:
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 receive a review of your claim, call Customer Service at 800-722-1471. 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 Cross7001 - 220th St. SW, Building 1Mountlake Terrace, WA 98043
Once we receive your request, we’ll send you more details about the review process.
After a claim is submitted you’ll receive a breakdown of the charges submitted. This is your Explanation of Benefits (EOB). It shows what we pay for and the portion, if any, you are responsible for.