Provider News

  • COVID-19 vaccine updates

    What you need to know to administer the vaccine.

    Learn more

  • Policy updates

    News

  • Online tools and resources

    Premera 101: A Provider Workshop | 1/7/2021

    Join us for an introduction to our secure online tools and quick tips for success.

    Use Prior Authorization Tool for Faster Service, Less Time on Hold | 12/17/2020

    Save time from having to fax records by using our prior auth tool.

    Get Faster Payments with EFT | 12/17/2020

    Tips for signing up and managing your EFT enrollment.

    Tools Available to Help Members Make Decisions | 12/3/2020

    Your patients might bring decision aids to upcoming appointments.

    Verifying Member Eligibility and Benefits | 10/15/2020

    Get tips to verify member eligibility and benefits.

    Provider Workshop: Eligibility and Benefits | 10/1/2020

    Join our Provider Experience team to learn about our eligibility and benefits tools and resources.
  • More online tools and resources news

  • Medicare Advantage

    The COVID-19 Vaccine Is Here | 1/7/2021

    Make sure you’re enrolled with CMS so that the vaccine can be swiftly distributed.

    New Medicare Advantage Medical Policies | 1/7/2021

    Learn about the latest MA policy updates.

    Plan Now for 2021 Preventive Visits | 12/3/2020

    Premera is incentivizing Medicare Advantage patients to schedule visits in 2021.

    New Medicare Advantage Medical Policies | 12/3/2020

    Learn about newest updates for MA policies.
  • More Medicare Advantage news

  • Individual plans

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

    See resources and training guides for 2021 Individual plans.
    You Asked, We Listened: Individual Plans Resource Page!

    You Asked, We Listened: Individual Plans Resource Page! | 6/4/2020

    Get everything you need in one resource for Premera individual plans.
    View Individual Plan Deductibles, Benefits, and PCPs

    View Individual Plan Deductibles, Benefits, and PCPs | 3/19/2020

    Get tips for the Search Member Eligibility function.

    Incorrect Prefixes Printed for 2020 Individual Plans | 3/19/2020

    Get correct prefixes here.
    Individual Plans No Longer Using eviCore Healthcare

    Individual Plans No Longer Using eviCore Healthcare | 3/19/2020

    Learn how to submit a prior authorization for outpatient rehabilitation services. 

  • More individual plan news

  • Company updates

    Advanced Imaging Radiologists Can Participate in Quality Care Program | 12/17/2020

    Covera Health to provide quality analytics for Premera members.

    Premera is Offering Quartet to More Members | 12/3/2020

    Quartet helps members find behavioral health providers.

    Rural Facilities Capital Grants Partnership Fund | 10/15/2020

    Premera and Empire Health Foundation have created a fund to support the advancement of healthcare in rural communities.

    Premera Expands Centers of Excellence to Include Radiology | 10/15/2020

    Premera partners with Covera Health to provide high quality radiology for Premera members.
    Premera Extends Cost Share Waivers to COVID-19 Testing and Treatment

    Premera Extends Cost Share Waivers to COVID-19 Testing and Treatment | 9/17/2020

    In 2020, Premera members will not pay a cost share for FDA-approved diagnostic testing and treatment for COVID-19.

    Landmark Health Home-Based Chronic Care Program Not Continuing | 9/3/2020

    Change in 2021 for members with complex medical conditions.
  • More company updates news

  • High-value care

    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

    COVID-19 Vaccine Updates

    COVID-19 Vaccine Updates | 1/7/2021

    What you need to know to administer the vaccine.

    Has Your Office Information Changed Recently? | 1/7/2021

    Make sure your information is also current in our provider directory.

    New Steps for Admission Notification | 1/7/2021

    You now have more time to submit medical records for admissions.

    Updated Virtual Care Benefits | 1/7/2021

    IOP and PHP virtual care are now standard benefits.
  • More reminders and updates news

  • Quality programs

    Upcoming Medical Record Request | 11/5/2020

    Plan for risk adjustment and HEDIS medical record requests coming this winter.

    Well-Baby Checkups: Parent/Guardian Education | 10/1/2020

    We’re taking a new approach to educating parents/guardians on the recommended checkup and vaccine schedule.

    Helping Members with Asthma Manage Their Condition | 10/1/2020

    Premera is sending an educational mailer to help members with asthma.

    A New Approach to Engaging Members with Multiple Care Gap | 9/17/2020

    Members will receive scorecards for their open and closed care gaps.
  • More quality programs news

  • Pharmacy

    Insulin Cost-Sharing Cap Mandate | 12/3/2020

    New requirements start on January 1, 2021.
    New Pharmacy Prior Authorizations Required on January 1

    New Pharmacy Prior Authorizations Required on January 1 | 11/19/2020

    Some drugs will require a new prior authorization on January 1, 2021. Get the details.

    2021 Essentials Drug Exclusion List | 11/5/2020

    Premera’s Essential Drugs List was reviewed to determine effectiveness, safety, and affordability.
    New Preventive Drug Lists for Premera Members

    New Preventive Drug Lists for Premera Members | 11/5/2020

    Preventive medications are now easier get for Premera members with chronic conditions.
  • More pharmacy news

  • Dental

    Answers to Common Dental Questions | 11/19/2020

    Frequently asked questions, helpful dental links, and more dental resources available in one place.

    Ensure Fast Processing for Dental Claims | 11/13/2020

    Include plan prefix on dental claim forms.

    New Dental Resources Web Page | 10/15/2020

    Looking for dental network information and links?

    Premera Will Not Cover the Added Cost of PPE | 6/4/2020

    Premera will not cover the added cost of the PPE on dental claims.
  • More dental news

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