Provider News Archive

  • The Premera Provider News page has moved

    Visit and bookmark our new page to find our latest updates.

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    Learn more about the new experience

  • Policy updates


  • Online tools and resources

    Helping Members Understand How to Make Health Decisions | 11/6/2023

    Decision aids are available to help patients understand their options for healthcare

    Support for You to Improve Health Equity and Patients' Lives | 11/6/2023

    Premera is working to reduce health disparities in marginalized groups

    Time-Saving Availity Tips | 11/6/2023

    Here are the latest tips to help you get the most out of your Availity secure tools

    Availity Tips for Prior Authorization, Referrals, and More | 10/5/2023

    Here are some helpful reminders, thanks to questions we’re hearing from providers

    Availity Eligibility and Benefits Tool Enhancement | 9/7/2023

    Provider feedback leads to clear deductible instructions

    New Availity Tips and Resources Tutorial | 9/7/2023

    Access the online video and user guide to get the most out of your Availity tools
  • More online tools and resources news

  • Medicare Advantage

    Medicare Advantage Plan Changes for 2024 | 11/6/2023

    We’ve made a few changes we’d like to share

    Symphony Prior Authorization Tool Upgrade | 11/6/2023

    New improvements to your prior authorization entry experience

    MA code and policy updates for November 2023 | 11/6/2023

    The Medicare Advantage policies and code list have been updated

    Medicare Advantage Code and Policy updates for September 2023 | 9/7/2023

    The Medicare Advantage policies and code list have been updated
  • 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

    The Premera Provider News Page has Moved | 12/11/2023

    Visit and bookmark our new page to find out about our latest updates and exciting new changes

    Act Now to Receive InstaMed EFT Payments in 2024 | 11/6/2023

    Individual plan network providers may need to update their InstaMed accounts

    Enhancements to Claims Transparency for CERIS Review | 10/6/2023

    Starting October 10, 2023, Premera is providing better transparency for claims under review with CERIS

    InstaMed Account Updates for Individual Plan Providers | 10/5/2023

    Providers with individual plan patients may need to update their InstaMed accounts

    2023 Provider Survey – Give Us Your Feedback! | 7/6/2023

    Please complete and return this important survey as quickly as possible

    Annual Risk Adjustment Data Validation Audit | 7/6/2023

    Provider offices may receive a request for medical records from Cognisight or directly from Premera
  • 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

    Codes and Eligibility for COVID-19 Booster Shots | 3/13/2024

    Use the correct codes when submitting claims for COVID-19 vaccines and boosters.

    Enhancing Accessibility: New Method for Submitting Medical Records | 11/6/2023

    You can now submit medical records for claims processing via fax

    New COVID-19 Vaccines Available | 10/6/2023

    Updated information on COVID-19 vaccines, billing, and codes

    Provider Directory Notice: Check Your Status with BetterDoctor | 10/5/2023

    Here’s what you need to know about BetterDoctor and verifying your information with Premera Blue Cross
  • More reminders and updates news

  • Quality programs

    Premera Programs Help Members Choose High Quality Providers | 11/6/2023

    Learn about our Centers of Excellence and Blue Distinction Specialty Care Programs

    Blood Pressure Coding Can Reduce HEDIS® Medical Record Requests | 10/5/2023

    Add CPT® II codes to patient claims to close gaps in care for patients

    Remind Your Eligible Patients to get Regular Mammograms | 10/5/2023

    Regular screenings lead to better outcomes

    September Care Gap Member Outreach | 9/7/2023

    Members may receive mailings on cancer screening and chronic conditions reminders
  • More quality programs news

  • Pharmacy

    Update to Preventive Services Drug Coverage | 3/13/2024

    Learn about age-specific ranges we’ll be applying to preventive prescription drugs

    Kroger is In-network for Premera Medical Advantage Plans | 3/13/2024

    Premera Medicare Advantage plans use CVS pharmacy as the pharmacy benefit manager

    Kroger- Express Scripts Termination Reminder | 3/13/2024

    We encourage members to sign in to the Premera member portal to find other local, in-network pharmacy options

    Makena and Hydroxyprogesterone Market Withdrawal | 5/4/2023

    The FDA announced the decision to withdraw the approval of Makena and Hydroxyprogesterone caproate injections on April 6, 2023
  • 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 Answers Top Questions about HMO Core Plus Plan | 2/5/2024

    Read the latest FAQ for Premera HMO

    Join Us for the Provider Webinar Series on December 6 | 11/6/2023

    Topic: Premera Blue Cross HMO 101: The Core Plus Plan

    Provider Directory Notice: Check Your Status with BetterDoctor | 10/5/2023

    Here’s what you need to know about BetterDoctor and verifying your information with Premera Blue Cross HMO

    The PolyClinic has Joined the Sherwood HMO Network | 10/5/2023

    We are pleased to announce that The PolyClinic will be available to HMO members starting January 1, 2024

    New Provider Systems Join the Sherwood HMO Network | 9/7/2023

    We welcome Virginia Mason Evergreen Health to the HMO network
  • More Premera Blue Cross HMO news

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