Provider News

  • Preventive Services Updates for 2023

    Changes to our preventive care benefits are coming in January.

    Learn more

  • Policy updates

    News

  • Online tools and resources

    Premera Teams Respond to Availity Provider Feedback | 11/3/2022

    Our responses  to your feedback from customer service calls, provider support teams, and Availity's online feedback feature

    Provider Workshop: Premera HMO Core Plus | 10/6/2022

    A training on the Premera HMO Core Plus plan product is December 7th -  save the date

    Availity Secure Tool Updates | 10/6/2022

    We transitioned most of our secure tools to Availity on September 10. Check out the most common questions asked about the tools

    Helping Members Make Health Decisions | 9/1/2022

    Decision aids are available to help patients understand options for complex care

    Premera Makes Full Transition to Availity Tools on September 10 | 9/1/2022

    Three tips for a successful transition to Availity

    Sign up for Availity Webinar Trainings Today: Be Ready Before Final Transition | 8/4/2022

    Get Premera-specific training to prepare for the September 10 transition of our secure tools
  • More online tools and resources news

  • Medicare Advantage

    Two Medicare-Related Surveys Being Conducted | 12/1/2022

    Surveys from Administration for Community Living (ACL) and Centers for Medicare & Medicaid Services (CMS) are underway - they are not phone scams

    Updates for Medicare Advantage Policies | 12/1/2022

    Learn about updates for Medicare Advantage (MA) policies and code list

    High Demand for Novo Nordisk’s Ozempic and Wegovy Creates Shortage | 12/1/2022

    Wegovy shortage could lead to greater off-label use of Ozempic for weight loss

    Statin Guideline Update from United States Preventive Services Task Force | 11/3/2022

    Statin use for prevention of cardiovascular disease in adults
  • More Medicare Advantage news

  • Individual plans

    Updated Individual Plan Tools and Resources Page | 5/5/2022

    We recently added news forms to the Individual Plan Tools and Resources page

    Changes for 2022 Individual Plans | 9/16/2021

    Premera Blue Cross will no longer be offering individual plans in Skamania and Wahkiakum counties

    Everything You Need to Know About 2021 Individual Plans | 1/7/2021

    See resources and training guides for 2021 Individual plans.
  • More individual plan news

  • Company updates

    Supporting Providers in the Health Equity Journey to Improve Patients’ Lives | 10/6/2022

    Premera is working to reduce disparities in health and its determinants that adversely affect excluded or marginalized groups

    Premera Invests $3 Million to Bridge Gaps in Mental Health and Health Equity Access | 9/1/2022

    Premera announced $3 million in grants and sponsorships to 20 organizations across Washington and Alaska

    New Premera HMO Plan | 9/1/2022

    Our HMO plan will provide services to members in Pierce, Thurston, and Spokane counties

    Premera Perspectives: Satya Sarma, Vice President of Medical Management and Population Health | 5/5/2022

    Learn about Premera’s newest leader and her role to identify ways to address the needs of specific communities

    Premera Invests $1.8 Million to Help Washington Colleges Address Critical Nursing Shortage | 5/5/2022

    Grant establishes a new academic pathway to increase opportunities and remove barriers

    Fighting Substance Use Disorders with Medication-Assisted Treatment | 4/1/2022

    This is the first article in a series highlighting the importance of medication-assisted treatment and breaking down the stigma of substance use disorder
  • More company updates news

  • High-value care

    Value-Based Care and Premera Provider Relationships | 3/18/2021

    Relationships built on trust, shared data, and analytics can decrease cost of care and health outcomes.

    Payment Models Shift to Value-Based Care | 12/17/2020

    Healthcare organizations and health plans are shifting from care models built around fee-for-service reimbursement to value-based care.
  • More high-value care news

  • Reminders and updates

    Preventive Services Updates for 2023 | 12/1/2022

    Changes to our preventive care benefits are coming in January

    Prior Authorization for Cancer Biomarker Testing Waived | 12/1/2022

    Starting January 1, 2023, prior authorization will be waived for certain biomarker testing for Washington members living with cancer

    Making Provider Directory Accuracy a Priority | 12/1/2022

    Premera is working with BetterDoctor to ensure the accuracy of your information in our provider directory

    Stay Up to Date on All Payment Policy Changes | 12/1/2022

    Review the latest payment policy updates for changes that may affect your claims payment
  • More reminders and updates news

  • Quality programs

    High Blood Pressure Educational Mailing | 12/1/2022

    Premera is providing members with winning tips for a healthy heart

    October Care Gap Member Outreach | 10/6/2022

    Outreach to members includes well-child checkups, cancer screening, reduced ED utilization, and improved care for chronic conditions

    September Care Gap Member Outreach | 9/1/2022

    Care gap reminders and asthma information are being sent to some members

    Helping Patients Who Use the Emergency Department for Migraines | 9/1/2022

    Informative Migraine Materials to Share with Your Patients
  • More quality programs news

  • Pharmacy

    Kroger Removal from Express Scripts Standard Networks | 11/3/2022

    Learn about impacted pharmacies and how it may affect your patients

    2023 Essential Drug Exclusion List | 11/3/2022

    Starting January 1, 2023, some drugs will change to preferred status, and some have been added to the Essential Drug Exclusion List

    COVID-19 Booster Shots for Kids 5-11 Years of Age | 6/2/2022

    Codes and eligibility now available for COVID-19 booster shots for children ages 5-11

    Walgreens Specialty Pharmacy Name Change | 5/5/2022

    New name, same patient-first service
  • More pharmacy news

  • Dental

    Use “Premera Dental” as the Payer When Using Availity | 7/7/2022

    Learn some handy tips for using Availity’s secure provider website

    Submitting Medicare Advantage Dental Claims for Out-of-Network Providers | 5/5/2022

    Make sure your claims are going to the right place for processing

    Visit our Medicare Advantage Dental Website | 4/1/2022

    Resources to help you care for our Medicare Advantage members

    Have You Opted Out of Medicare? | 2/25/2022

    Information about providing care to Premera Medicare Advantage members

    Availity Tips for Dental Providers | 2/1/2022

    Learn some handy tips for using Availity’s secure provider website
  • More dental news

  • Premera Blue Cross HMO

    Premera Blue Cross HMO Core Plus Plan – Availity Trainings Now Available | 12/1/2022

    Sign up for Availity webinar trainings today

    Provider Workshop: Learn About Premera HMO Core Plus | 11/3/2022

    We'll share Premera HMO Core Plus resources, plans details, and tips at the Provider Workshop
  • More Premera Blue Cross HMO news


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