Unsure where to submit your claims? View this list of common alpha plan prefixes and Blue Plans to find out.
Alpha plan prefix list
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 alpha 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 National Account Service Company (NASCO) program in this chapter of the Premera Reference Manual.