Provider News

  • Total joint replacement offered at 7 Providence St. Joseph Health Facilities

    Do you offer total joint replacement? Here’s what you need to know.

    Learn more

  • Policy updates

    News

  • Online tools and resources

    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?

    Helpful Tips for Coding Respiratory Diseases | 12/19/2019

    Our web-based training can help your office!

    Determining Member Eligibility and Coverage | 11/7/2019

    Did you know that plan benefits vary widely by contract? Find out how it works.

    Talkspace Now Available for More Members | 9/19/2019

    Behavioral health benefit expands to cover psychiatry and additional states.

    Personalized Support Program for Patients | 9/5/2019

    Did you know there is no cost, one-on-one support available for patients?
  • More online tools and resources news

  • Medicare Advantage

    Medicare Advantage Policy Updates | 1/16/2020

    Medicare Advantage medical policies and prior authorization code list have been updated.

    Behavioral Health Management for 2020 | 1/1/2020

    Optum will continue to manage behavioral health services for Medicare Advantage.

    We’ve Updated Our Medicare Advantage Policy Page | 12/5/2019

    Check out what’s changed.

    Pharmacy News for Our 2020 Plans | 12/5/2019

    Prescribing reminders for your patients.
  • More Medicare Advantage news

  • Company updates

    Total Joint Replacement Offered at 7 Providence St. Joseph Health Facilities

    Total Joint Replacement Offered at 7 Providence St. Joseph Health Facilities | 1/16/2020

    Do you offer total joint replacement? Here’s what you need to know.

    Welcome to Living Actively Northwest | 1/1/2020

    Get inspired to explore, taste, and experience the Northwest.

    New Claims Mailing Address for 2020 Individual Plans | 12/19/2019

    Tips for processing claims for 2020 Individual Plans.

    Appeal Process for 2020 Individual Plans | 12/19/2019

    Learn how to submit clinical and claim appeals and request peer-to-peer reviews.
    Everything You Need to Know About 2020 Individual Plans

    Everything You Need to Know About 2020 Individual Plans | 12/19/2019

    Resources, training guides, and more!

    Premera Welcomes School Employees to New SEBB Health Plans | 12/19/2019

    More school employees are joining Premera starting January 1, 2020.
  • 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

    New UB-04 Hospital Claim Validation Edits | 1/16/2020

    Data elements/fields on hospital claims will be reviewed for validity and correct coding.

    Cologuard’s DNA Test Versus Standard FIT Kits | 1/1/2020

    Learn why FIT Kits are just as effective for at-home colon cancer screening.

    Updates to Telehealth/Telemedicine Payment Policy | 1/1/2020

    Policy exceptions will be eliminated starting April 2020.

    Premera’s Diabetes Management Programs | 12/19/2019

    Learn how Premera is providing members with tools to self-manage their diabetes.
  • More reminders and updates news

  • Quality programs

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

    Helping members be aware of emergency room alternatives.

    Medical Records Review: February 2020 | 1/1/2020

    Premera and COTIVITI will be reaching out for a HEDIS medical record review.

    Knowing Where to Go: ER Reduction Mailer | 11/21/2019

    Alternatives available to visiting the emergency room.
  • More quality programs news

  • Pharmacy

    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?

    Voluntary Recall on Ranitidine | 12/19/2019

    Another manufacturer has recalled Ranitidine Tablets and Ranitidine Syrup.

    National Shortage of IVIG and SCIG Drugs | 11/21/2019

    How we can work together to ensure customers get the drugs they need.

    2020 Essentials Drug Exclusion List Is Available | 11/21/2019

    What drugs are not covered for 2020?
  • More pharmacy news

  • Dental

    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.
    Premera Blue Cross Medicare Advantage 2019 Dental Plans

    Premera Blue Cross Medicare Advantage 2019 Dental Plans | 12/6/2018

    Welcome new Medicare Advantage network dental providers.
  • More dental news

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