Learning Center

• 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.

Claims editor/What If tool: Test billing scenarios and code combinations with our claims editing software that displays specific coding rationale.

PCP roster: Download a roster of our members who've selected a PCP in your office.

To use these two online tools, sign in to the Premera secure provider portal.

Visit our Quality and Coding Tools page for quality measure tip sheets, documentation and coding guides, web-based training, and more.

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.

We know it can be challenging to find time for trainings and educational opportunities. Workshops will continue in 2023 - look for updates in Provider News.

Availity Webinars
Premera is now using Availity secure online provider tools. To register for a webinar, or view upcoming or recently recorded Availity webinars, sign in to Availity and visit the Availity Learning Center. Go to Help & Training > Get Trained and enter the keyword Premera to find Premera webinars.

Watch previous Premera workshops

Premera HMO Core Plus Plan (slides), December 7, 2022

Shared Admin and BlueCard, July 13, 2022

Behavioral Health, May 11, 2022
Premera and Healthcare in 2022, January 19, 2022

Credentialing, November 10, 2021
Claims Editing, September 15, 2021
No Surprises Act, July 21, 2021
Medicare Advantage, May 12, 2021
COVID-19, March 10, 2021

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

View sample ID cards, learn about plans, new networks, and copays with the ID card guide.

Premera now using Availity for secure provider portal
Premera is now using Availity as its primary secure portal. Most of Premera’s secure tools on Premera.com are no longer be available as of September 10, 2022. Sign in to Availity or register and get training. View our Availity provider FAQ for more details.

To access PCP Roster, Payment Policies, and the Claims Editor tool on our secure premera.com provider portal, providers must sign up for OneHealthPort. Visit OneHealthPort and select the Register tab in the Single Sign-On section. If you need help, call 800-973-4797.

OneHealthPort is an independent company providing online account management and single-sign on service to multiple health plans. 

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.

Increasing equitable access to quality, affordable healthcare tailored to fit a community's needs.

At Premera, our purpose is to improve customers' lives by making healthcare work better. That means we need to recognize the areas where healthcare falls short. Many long-standing health inequities exist because of poverty, systemic racism, and discrimination. The result is unfair, unjust, and can have a negative impact on health.

Health equity goals

• Thinking outside of traditional healthcare responses will help address real-life, common challenges that prevent people from accessing the care they deserve
• Solutions that improve the health for our populations will benefit other historically marginalized groups
• A fair healthcare system can and should improve health outcomes and quality of care and contribute to the elimination of racial and ethnic health disparities

Continuing medical education

There are many resources available to build knowledge in health equity that provide tools for you to best connect with your patients and community.

• American Medical Association (AMA): Addressing Social Determinants of Health
• AMA: Center for Health Equity - Multiple HE courses to help physicians, health providers and health systems address root causes of inequities such as racism, white supremacy, and other structural determinants of health
• AMA: Howard Brown Health - Multiple HE courses related to the lesbian, gay, bisexual, transgender, queer, intersex, asexual and allies (LGBTQIA+) community
• AMA: The Fenway Institute - Multiple HE courses related to the LGBTQIA+ community
• U.S Department of Health & Human Services - A Physician's Practical Guide to Culturally Competent Care
• Association of American Medical Colleges (AAMC) – Unconscious Bias Resources for Health Professionals - The AAMC provides resources and trainings to assist institutions with achieving organizational goals around addressing unconscious biases.

Want to learn more about Health Equity?

Access resources to build knowledge in health equity that provide tools for you to best connect with your patients and community.

• American Academy of Family Physicians: The EveryONE Project
• Premera Social Impact Report
• Blue Cross Blue Shield National Health Equity Strategy