Provider News

  • Prior authorization for newborn genetic testing

    Premera removes prior authorization requirements for some genetic testing in newborns.

    Learn more

  • Policy updates


  • Online tools and resources

    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?
    Help Patients Find You!

    Help Patients Find You! | 8/15/2019

    Use online tools to update your Provider profile.

    We Are Breaking Down the Stigma of Behavioral Health | 6/6/2019

    Digital behavioral health resource center is now available with articles, videos, and resources.
    Online Tools Can Make Your Day Easier

    Online Tools Can Make Your Day Easier | 3/21/2019

    Quick and easy information can help with day-to-day transactions.
  • More online tools and resources news

  • Medicare Advantage

    2020 Medicare Advantage Expansion | 10/17/2019

    We’re approved to expand into new counties.

    CMS Announces 2020 Health Plan Ratings | 10/17/2019

    Premera’s commitment to quality and the continual improvement of our Medicare Advantage programs has resulted in a 4.0 Star Rating for 2020.

    Flu Season Is Coming! | 8/15/2019

    Medicare Advantage members will receive a reminder for a flu shot.

    Nurse Outreach Program | 8/15/2019

    Premera supports providers’ patient care efforts through a new initiative.
  • More Medicare Advantage news

  • Company updates

    How a Team of Caregivers Tamed a Mysterious Disease | 11/21/2019

    Premera’s clinical care team works with providers to help members get the right care.

    Premera and MultiCare Collaboration Expands for 2020 | 11/21/2019

    Peak Care will expand into Thurston and Spokane counties for 2020.

    Integration of Mental Health in Rural Areas | 11/7/2019

    How can $10 million affect mental health services in areas of Washington and Alaska?
    New Electronic Funds Transfer Vendor for Our 2020 Individual Plans

    New Electronic Funds Transfer Vendor for Our 2020 Individual Plans | 10/17/2019

    Want your 2020 claims paid faster? Make sure you’ve sign up with InstaMed for EFT.

    Premera Offers Robust Benefits and Great Service to Washington’s School District Employees | 10/17/2019

    Starting in 2020, employees of Washington’s school districts will receive benefits through the School Employees Benefits Board (SEBB) Program.

    Surprising Great Teachers | 10/3/2019

    Premera is honoring teachers throughout the community with a classroom surprise and a Sounders game day experience!
  • More company updates news

  • High-value care

    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!

    Value-Based Payment Models | 11/15/2018

    Learn more about the shift to a model that rewards high-quality, cost efficient care.
  • More high-value care news

  • Reminders and updates

    Prior Authorization for Newborn Genetic Testing

    Prior Authorization for Newborn Genetic Testing | 11/21/2019

    Premera removes prior authorization requirements for some genetic testing in newborns.

    Sleep Equipment Replacement Units and Supplies Review Process | 11/21/2019

    AIM Specialty Health and Premera are changing the review of sleep supplies.

    Updates to Contract Exclusions/Disallowed Charges Payment Policy | 11/21/2019

    Additional facility services that will not be reimbursable when separately billed are being added.

    Changes for Massage, Physical, and Occupational Therapy | 11/21/2019

    eviCore Healthcare will no longer review physical therapy, occupational therapy and massage therapy services for individual plans.
  • More reminders and updates news

  • Quality programs

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

    Alternatives available to visiting the emergency room.

    Parents or Guardians Received Well-Child Checkup Information | 11/7/2019

    The brochures were sent to parents that included key topics, vaccine schedule, and more!

    Care Gap Mailing Campaign: HbA1c Testing for Patients with Diabetes | 10/3/2019

    Members will receive information about Hemoglobin A1c testing.

    Women’s Care Gap Mailing Campaign: Cervical and Breast Cancer Screenings | 9/5/2019

    Premera members received cancer screening reminders in August.
  • More quality programs news

  • Pharmacy

    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?

    Voluntary Recall on Ranitidine Expanded | 11/21/2019

    The voluntary recall of Ranitidine has been expanded to include additional manufacturers.

    Changes for Specialty Pharmacy Drug Refills | 10/17/2019

    Starting January 1, 2020, specialty drugs must be filled at a Specialty Pharmacy.
  • 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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