Not sure where to submit your claims? Use this list of common Blue Plan prefixes or BlueCard county map to find out.
View medical policies, check pre-certification and pre-authorization requirements, and submit pre-service reviews for out-of-area Blue Plan members.
Medical policy & pre-service review
When using these tools, check the BlueExchange box. You'll need the member's plan prefix, ID number, and date of birth or first and last name. Call 888-261-9562 to reach Premera's BlueCard claims customer service team.
Eligibility & Benefits
Claims & Payments
Claims for out-of-state Medicaid members:
Blue Cross and Blue Shield (BCBS) Plans currently administer Medicaid programs in several states. Because Medicaid is a state-run program, requirements vary by state and BCBS plan. Medicaid members have limited out-of-state benefits, generally covering only emergent situations. If you're seeing an out-of-state Medicaid member, view the following two documents for more information:
The BlueCard® Program Provider Manual provides detailed information about the BlueCard program and allows you to:
Find highlights of the BlueCard process for providers in contiguous counties in Oregon and Idaho and the Shared Administration program in this chapter of the Premera Reference Manual.