Use this list of common Blue Plan prefixes or BlueCard county map to find out where to submit your claims.
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
Are you a provider outside of Washington or Alaska? View information for out-of-area providers.
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 gives you detailed BlueCard program information and shows you how to:
The Premera Reference Manual provides highlights of the BlueCard process for providers in contiguous counties in Oregon and Idaho and the Shared Administration program. View the Shared Administration contact list for group names, prefixes, and contact information.
Starting January 1, 2021, you may see new ID cards with HPN in a suitcase logo. Blue High Performance Network, or HPN, is a new national network, similar to BlueCard. Use our BlueCard tools for member eligibility and benefits information.