Provider Contacts

  • Claims

    Mailing address:
    PO Box 91059
    Seattle, WA 98111-9159

    View claims and billing forms

    Customer service

    Call 877-342-5258, option 2, for help with:

    • Member benefits and eligibility verification
    • Claims payment, payment vouchers, or remittance assistance
    • Provide network status confirmation

    Provider Contacts - One-page reference sheet of Premera addresses and phone/fax numbers.

    Credentialing application - new providers

    Send your new credentialing application to Premera by mail, fax, email or through ProviderSource.

    Mail:
    PO Box 327 - MS 263
    Seattle, WA 98111-0327

    Fax: 425-918-4766

    Email: Credentialing.Updates@Premera.com

    ProviderSource: Learn more about ProviderSource.

    Physician and provider relations

    You can reach us at 877-342-5258, option 4 or email us with any questions. We're currently working on email requests submitted on April 5. Please see the Join Our Network page for credentialing information.

    Has your office information changed recently?

    Be sure to email us a completed provider update form if you have any of the following office changes:

    • Changing your billing, practice or remittance address
    • Adding a practice location
    • Updating your tax identification number
    • Adding/deleting a provider at your office

    Help our members find you

    Also make sure your information is current in our provider directory. Please make sure that providers are only listed at locations where they accept appointments. The Centers for Medicare and Medicaid Services (CMS) calls your practice on a regular basis to confirm that you’re following this requirement and if your information is current in the directory.

    Physician and provider appeals

    To reach us by phone, please call the customer service number on the back of the member's ID card.

    Mailing address:
    PO Box 91102
    Seattle, WA 98111-9202

    View appeals forms

    Technical website help

    To report issues related to our website, send us an email, call our service desk at 800-722-9780, weekdays, 6 a.m. to 6 p.m., or visit our help page.

    For issues with your OneHealthPort user ID or password, call OneHealthPort at 800-973-4797.

    BlueCard

    • Call 800-676-BLUE (2583) to verify benefits or eligibility for BlueCard members.
    • Be sure to have the subscriber or member identification number available when calling.
    • Call 888-261-9562 to reach Premera's BlueCard claims customer service team.
    • Log in to your local Blue plan's website
    • Visit our BlueCard Resources page

    Clinical review

    Call Clinical Review at 877-342-5258, option 3, for help with:

    • Prior Authorization
    • Admission screening and triage
    • Clinical review
    • Case management

    Fax inpatient admission notification forms and related medical records to 888-742-1487.

    Fax prior authorization request forms to 800-843-1114.

    Premera Blue Cross Medicare Advantage Plan

    Call Customer Service at 888-850-8526, 8 a.m. to 8 p.m., Monday through Sunday.
    Call Utilization Management at 855-339-8127, 9 a.m to 9 pm., Monday through Friday. If urgent (after-hours) call 866-322-6287, from 9 p.m. to 9 a.m., Monday through Friday.
    Fax (24-hour) at 866-809-1370 .

    Electronic Data Interchange (EDI)

    Call the EDI team at 800-435-2715 if you have questions related to our electronic claims clearinghouse.

    Pharmacy services

    Call Pharmacy Services at 888-261-1756 for help with:

    • General information on the Preferred Drug List (PDL)
    • Exceptions for point-of-sale edits
    • Level status confirmation for a specific medication