Learning Center

  • Premera Secure Portal Tools Available Through Availity Essentials

    Sign in to Availity to access the following tools:

    • Eligibility and benefits
    • Prior authorization
    • Check prior authorization status
    • Claims and payments
    • C3 Claims editor
    • Electronic funds transfer (EFT) for enrollment or cancellation

    To learn more about Availity secure tools, view the Availity Tips and Resources tutorial or sign in to Availity, go to the Availity Learning Center > Help & Training > Get Trained (enter the keyword Premera). 

  • Quick Training Videos: Tips for Working with Premera

    Our provider training videos give you easy access to quick tips (most are less than 5 minutes long) on Availity tools and other important Premera provider information. Sign in to Availity to watch the training videos for the following Availity tools:

    Adding Washington state as a new region in Availity: Learn how to add Washington state so you can see complete benefits for members.

    Availity tips and resources: Watch a general overview for using Availity secure tools.

    BlueCard and Shared Administration eligibility and benefits: Learn how to check eligibility and benefits for BlueCard members and Shared Administration groups.

    Claim attachments: Get the details for adding claim attachments.

    Claim corrections: Correct online claims in pending or final status.

    Claim denial reasons: Easier to understand explanations save you time.

    Claims editor C3 tool: Use this tool to test billing scenarios and code combinations.

    Claim status: See all claim status options and know if action is needed.

    Deluxe remittance viewer: View all claims related to your explanation of payment (EOP).

    Electronic funds transfer (EFT): Learn how to sign up for EFT.

    Fee schedule - dental: Use the Premera Dental payer to view fee schedule rates.

    Fee schedule - medical: Save time and find your commercial fee schedule online.

    Second-pass edits: Learn about improved claim explanations and related policy details.



    Premera uses Availity for secure provider portal
    Premera uses Availity as its primary secure portal. Sign in to Availity or register and get training. View our Availity provider FAQ for more details.

    Availity is an independent provider of health information network services that does not provide Blue Cross Blue Shield products or services. Availity is solely responsible for its products and services.

    Coding resources - Payment integrity information and payment policies, claim editors, coding and billing guidelines.

    Quality tip sheets, user guides - Training guides, tip sheets for coding and documentation. 

    Coding major depressive disorder: Accurately code and document major depressive disorder. Divided into four short sections, this training is part of a condition-focused series.

    Coding respiratory: Learn how to accurately document and assign diagnosis codes for patients with multiple respiratory diseases.

    Coding diabetes: Documenting and accurately coding diabetes can be challenging. Learn how to prevent common coding errors.

    Coding cancer: Use these tips to avoid errors when coding and documenting cancer.

    Watch previous Premera workshops
    Shared Admin and BlueCard    , July 13, 2022
    Premera and Healthcare in 2022, January 19, 2022
    Claims Editing, September 15, 2021
    No Surprises Act, July 21, 2021

    Questions?
    We're here to help. Just email us at ProviderExperience@premera.com.

    AVAILITY

    Availity Tips and Resources guide

    C3 Claims Editor guide

    UPDATING PROVIDER INFO

    Provider Information guide: Find resources to keep your data current.

    PCP roster guide: Learn how to download a roster of our members who've selected a PCP in your office.

    ID CARDS

    ID card guide: View sample ID cards, learn about plans, new networks, copays. 

    INDIVIDUAL PLANS

    Individual Plan Training overview: From policies and ID cards to online tools and forms, find out everything you need to know about our Individual Plans.

    Individual Plan Eligibility and benefits: Learn how to look up eligibility and benefits for Individual Plan patients on the new secure site.

    Individual Plan Claims submission and status: Learn how to look up a claim status and get a claims list for Individual plan patients.

    Individual Plan Prior authorizations (Identifi): A step-by-step guide on how to use Identifi, the new prior authorization request submission tool for our Individual health plans.

    Individual Plan PCP roster: See how to download a roster of our Individual plan members who've selected a PCP in your office.

    Individual Plan Log-in Affiliations: Learn how to access another tax ID associated with your portal account.

    TELEHEALTH

    Telehealth Claim Submission Guide: Get the details on telehealth services and how to submit claims.

     

    Visit the Washington State Department of Health Professional Development Resources website to learn more about providing culturally competent care.