Provider Contacts

  • Claims

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

    Claim payer IDs
    Direct submission:  Professional and Institutional 00430; Dental 47570
    Clearinghouse submission: Contact your clearinghouse for the correct submitter ID (assigned by the clearinghouse)
    View claims and billing forms

    Customer service

    Sign in to Availity for online member eligibility and benefits, claims status, and payment information. Call 877-342-5258, option 2, from 6 a.m. to 5 p.m., Pacific Time, Monday through Friday, for help with:

    • Member benefits that don't display through Availity
    • Claims payment, payment vouchers, or remittance assistance
    • Provider network status confirmation
    • Technical help, website issues
    • Credentialing

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

    Availity secure tools

    For help with Availity technical issues or registration information, call 800-282-4548,  8 a.m. to 8 p.m., Eastern Time, Monday - Friday.

    Credentialing application - new providers

    Use OneHealthPort's ProviderSource to submit your credentialing application. Get more details on our Join Our Network page.

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

    Fax: 425-918-4766

    Email: Credentialing.Updates@Premera.com

    Request a copy of your contract

    If you need a copy of your contract, send us an email request and we’ll send it to you directly as an email attachment. Please note this email is only for requesting contract copies.

    Request a copy of your 1099 statement

    If you need a copy of your 1099 statement or have any questions about it, email your request to accounts.payable@premera.com.

    Physician and provider relations

    If you have questions, please email us. To complete your email request as quickly as possible, we do require the provider tax ID number, NPI numbers, and provider names for all emails. Please allow our team 20 to 30 days to complete your request.

    Has your office information changed recently?

    Be sure to complete a 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

    Make sure your information is current in our provider directory. The federal No Surprises Act requires health plans to verify all provider directory data every 90 days. It also requires all providers and facilities submit this information to in-network plans. Unverified providers may be removed from our 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

    Forgotten ID and password assistance

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

    BlueCard

    • Call 800-676-BLUE (2583) from 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 from 6 a.m. to 5 p.m. 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 HMO

    Call Customer Service at 844-722-4661, 8 a.m. to 5 p.m., Monday through Friday.

    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)

    Email: EDI@premera.com
    Fax:     425-918-4234 (for EDI enrollment forms only; no claims or PPI information)

    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