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.

See how each of our online tools work with step-by-step instructions and screenshots. Share these guides with your office staff and let us know if you have feedback.

Medical eligibility and benefits: Get medical member eligibility and benefit information, including deductible and benefit limit accumulators. Want more training? View our eligibility and benefits workshop.

Dental eligibility and benefits: Get complete dental member eligibility and benefit information, including accumulators for X-rays, tooth history, and detailed member plan language. Want more training? View our eligibility and benefits workshop.

Vision eligibility and benefits: Learn how to get complete vision member eligibility and benefits information.

Prior authorization: See if a code needs medical necessity review, submit a review, or check the status of an existing review. Want more training? View our prior authorization workshop.

BlueCard pre-service review router: Submit online pre-service review requests for BlueCard members via their home plan's website.

Claims and payments: Get claim status, detailed payment information, and download your explanation of payments (EOPs).

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

Electronic funds transfer: Enroll in electronic funds transfer (EFT) for your Premera/affiliate payments.

Explanation of payments: Look up, print, and download PDFs of your explanation of payments (EOPs).

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

To use these online tools, sign in.

Whether you're new to your job, training someone, or taking on more responsibility, we've got quick and easy ways to learn online. Created for your busy schedule, most tutorials are 3-4 minutes long.

Provider orientation: For new healthcare office professionals and solo clinical practitioners. Learn the business of managing a medical practice and how to work with Premera. View our Premera 101 workshop.

Provider directory best practices: For providers listed in our Find a Doctor search. See the requirements for having an accurate provider directory listing, and how to update your information when needed.

BlueCard training: For healthcare office professionals. Assist patients with out-of-state Blue plans, including submitting claims.

Claims best practices: For claims professionals. Learn about the most common claims errors and how to prevent them.

Clinician overview: For newly-hired clinicians. Addresses prior authorization, medical policies, and other key information about working with Premera.

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. The following schedule helps you plan for upcoming Premera workshops and view previously recorded workshops. All workshops are on Wednesdays.

Save the Date!
November 10, 2021
1:30 - 2:30 p.m.

Availity Workshops
Sign up for Availity provider workshops through the Zoom meeting links. To register, most of the webinars require signing in to the Availity portal.

Resources and Tips for New Administrators, Thurs., Oct. 6, 3:30 p.m.  (30 minutes)

Register and Get Started with Availity, Tues., Oct. 11, 1 p.m. (30 minutes)

Availity Introduction for Premera Providers, Mon., Oct. 18, 8:30 a.m. (60 minutes)

What's New for Premera Dental Providers, Wed., Oct. 19, 1 p.m. (45 minutes)

Medical Claim Submission and Claims Follow-up, Wed., Oct. 22, 11 a.m. (90 minutes)

Dental Claim Submission and Claims Follow-up, Tues., Oct. 26, 10 a.m. (90 minutes)

Watch previous Premera workshops
Claims Editing, September 15, 2021
No Surprises Act, July 21, 2021
Medicare Advantage, May 12, 2021
COVID-19, March 10, 2021
Premera 101, February 3, 2021
Prior Authorization, September 9, 2020
Eligibility and Benefits, November 11, 2020

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.

Providers must sign up for OneHealthPort to use our online tools. Registration is easy and free. Go to 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.