Provider News

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  • Online tools and resources

    Join Our Network

    Join Our Network | 5/21/2020

    Resources and tips for completing credentialing applications.

    Online Tools Available to Check Claims and Eligibility | 4/16/2020

    Save time (and a phone call) using our online tools.
    Online Coding Resources

    Online Coding Resources | 3/13/2020

    Online tutorials and user guide help improve coding.

    Online Tools and Training Available | 2/20/2020

    Learn about plans, new networks, copays, and view sample ID cards.
    2020 ID Card Guide Available

    2020 ID Card Guide Available | 1/1/2020

    Learn about plans, new networks, copays, and view sample ID cards.

    New Feature: Comments for Electronic Claims | 1/1/2020

    Why should I comment on electronic claims?
  • More online tools and resources news

  • Medicare Advantage

    Payment Reduction for Medicare Advantage Claims Suspended | 5/21/2020

    Providing support and relief for US healthcare during COVID-19.

    Updated Medicare Advantage Policies | 4/2/2020

    Medicare Advantage medical policies and prior authorization code list now updated.

    Members Assigned to Delegated Provider Group | 4/2/2020

    Find out how to identify these members.

    New Clinical Documentation Improvement Program Starts This Month | 3/13/2020

    The incentive-based program helps providers create CMS-compliant medical records. documentation.
  • More Medicare Advantage news

  • Individual plans

    New 2020 Individual Plans

    New 2020 Individual Plans | 5/27/2020

    Network name change for Individual plans.

    Medical Policies and Claim Editing System for 2020 Individual Plans | 5/27/2020

    Evolent Health will begin managing many of the operational responsibilities for our Individual plans.
    Electronic Funds Transfer and Electronic Remittance Advice Vendor for Our 2020 Individual Plans

    Electronic Funds Transfer and Electronic Remittance Advice Vendor for Our 2020 Individual Plans | 5/5/2020

    Want your 2020 claims paid faster? Make sure you’ve sign up with InstaMed for EFT.
    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.
  • More individual plan news

  • Company updates

    CPT Lab Test Codes for Antibody Tests | 5/21/2020

    It’s critical for providers to correctly code these claims.
    Expanded Telehealth Options for Mental Health and Substance Use Disorder

    Expanded Telehealth Options for Mental Health and Substance Use Disorder | 5/7/2020

    Three additional in-network providers to help support members during the COVID-19 pandemic.

    Advance Payments for Providers Now Available | 5/7/2020

    The program allocates $100 million in advance payments for providers.
    Advance Payment During COVID-19 Crisis

    Advance Payment During COVID-19 Crisis | 4/16/2020

    Premera is offering advance payment to eligible providers to help with financial support during the COVID-19 crisis.

    Your Teen's Mental Health During Isolation | 4/16/2020

    It’s important for teens to stay emotionally connected with friends.
    COVID-19 Updates: Cost Shares, Telehealth Expansion, and Prior Authorization

    COVID-19 Updates: Cost Shares, Telehealth Expansion, and Prior Authorization | 4/2/2020

    Get update for coverage during the coronavirus (COVID-19) outbreak.
  • More company updates news

  • High-value care

    Premera Designated Centers of Excellence for Total Joint Replacement | 12/19/2019

    Starting January 1, seven Providence St. Joseph Health facilities will start seeing Total Joint Replacement patients.

    Blue Distinction Centers for Substance Use Treatment and Recovery | 12/5/2019

    Premera has 13 providers designated as Centers of Excellence in substance use treatment and recovery.
    Looking for Specialty Care Referrals That Are High-Quality and Cost Efficient?

    Looking for Specialty Care Referrals That Are High-Quality and Cost Efficient? | 2/7/2019

    Premera’s Blue Distinction Specialty Care designations can help.

    Value-Based Specialty Care and Our Customers | 1/17/2019

    Together we can change the way customers choose specialty care providers.

    Value-Based Care & New Premera Partnerships | 12/6/2018

    Premera is partnering with providers to deliver high-quality care at a fair price. Learn more about the opportunities!
  • More high-value care news

  • Reminders and updates

    Update Your Information in Our Provider Directory | 5/21/2020

    Make sure patients can find you online.

    HEDIS Measure: Colorectal Cancer Screening | 5/7/2020

    Remind your patients of the importance of colorectal cancer screening.

    Co-surgery Modifier Enforcement | 5/7/2020

    Co-surgeons billing on the same procedure should submit their claims with a modifier.

    Robotic Surgery Edits Expand to Facility Claims | 4/16/2020

    The robotic surgery and computer assisted navigation payment policy is expanding to facility claims.
  • More reminders and updates news

  • Quality programs

    HEDIS Quality Measures: New Exclusions | 4/2/2020

    New exclusions for patients with advanced illness and frailty.

    Information on Well-Child Checkups Sent to Members | 3/5/2020

    Some FEP members will receive information about well-child checkups. Here’s what you need to know.

    HEDIS Quality Measure Changes | 2/20/2020

    The National Committee for Quality Assurance released changes for select HEDIS® Quality measures.

    Knowing Where to Go: ER Alternatives | 1/16/2020

    Helping members be aware of emergency room alternatives.
  • More quality programs news

  • Pharmacy

    New Opioid Attestation Form Required for Prior Authorization Approval | 5/21/2020

    What you need to know about the new state opioid policy.

    FDA Alert: EpiPen Auto-Injector Errors | 5/7/2020

    EpiPen and EpiPen Jr. auto-injectors may have a delayed injection or aren’t properly injecting.

    FDA Recall on Ranitidine Products | 5/7/2020

    What you need to know about patients taking prescription or over-the-counter ranitidine.

    Institute for Clinical and Economic Review: Our Pharmacy Watchdog | 1/16/2020

    How is Institute for Clinical and Economic Review (ICER) is helping health plans make decisions?
  • More pharmacy news

  • Dental

    Ensure Fast Processing for Dental Claims | 5/21/2020

    Include plan prefix on dental claim forms.

    Connecting Dental and Healthcare | 11/21/2019

    Learn more about Premera approach to dental care.

    Resources Available for Dental Providers | 11/21/2019

    Need a refresher on the responsibilities and requirements for Premera dental providers?

    Reducing the Risk of Opioid Addiction | 11/21/2019

    Learn about our opioid policies to help prevent addiction.
    Expanding our Dental Network to Meet Member Needs

    Expanding our Dental Network to Meet Member Needs | 11/7/2019

    Premera and United Concordia Dental (UCD) will work together to meet the needs of our growing dental membership.
  • More dental news

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