Provider News

  • Policy updates


  • Online tools

    Upload Medical Records Instead of Faxing | 2/1/2017

    Send medical records using prospective review tool.

    Tips for PersonalCare Plans | 2/1/2017

    Use these quick online tools to confirm your patient’s referral network.

    Check Claim Status Online | 2/1/2017

    Learn how to check claim status online for timely information.

    Feedback Needed for Provider Websites | 1/26/2017

    Take our quick Premera Listens survey to let us know how we’re doing.

    EOPs for BlueCard Claims Now Available | 1/26/2017

    Our claims detail web page now gives you a link to your BlueCard EOP.
  • Medicare Advantage

    HEDIS Requests Start in February | 2/1/2017

    Medical records request conducted by Providence Health Plan.

    Vaccine Coverage | 2/1/2017

    Help your patients avoid unexpected bills for vaccines.

    Medicare Advantage Plan Changes for 2017 | 2/1/2017

    Changes related to benefits, networks, and more.

    New Ruling on Medicare Outpatient Observation Notice | 1/26/2017

    New CMS rule helps Medicare patients understand their care and costs.
  • Company updates

    Helping Patients with Chronic Conditions | 3/6/2017

    Landmark Health and providers collaborate to reach patients with multiple health conditions.

    Shared Decision-Making Resources | 3/2/2017

    New tools help our customers make better-informed health decisions.

    Free Credit Monitoring Concludes | 3/2/2017

    Find out the options for continued monitoring.

    Coding Update for Outpatient Lab Tests | 3/2/2017

    Modifier L1 for hospital outpatient lab tests is no longer valid.

    ICD-10 CM Diagnosis Coding Tips | 3/2/2017

    Choose the right codes for newborn, infant, and child health examinations.

    Modifier FX: X-ray Taken Using Film | 3/2/2017

    New radiology code modifier from CMS.
  • Reminders and resources

    Changes to Physical and Occupational Therapy Guidelines | 3/2/2017

    eviCore has updated its clinical guidelines for physical and occupational therapy services.

    Changes to Massage Therapy Guidelines | 3/2/2017

    See a summary of updates to eviCore’s massage therapy guidelines.

    Practitioner Credentialing Notifications | 2/1/2017

    Understand your rights related to credentialing.
  • Quality programs

    Out-of-area Medical Records Requests | 3/2/2017

    Find out more about medical records requests from other BCBSA plans.

    Access to Practitioners | 3/2/2017

    Learn about our annual research on practitioner appointment accessibility and our related policy.

    HEDIS Requests Begin in February | 2/1/2017

    Verscend requesting HEDIS data for Premera customers.

    Improving Medical and Behavioral Health Collaboration | 1/26/2017

    2016 annual survey shows improved collaboration, opportunity for better patient care.
  • Pharmacy

    Pharmacy Prior Authorization Edit Expansion Program | 1/26/2017

    View the latest drugs and their related policies for our prior auth program.
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