• Provider News

    At Premera, we offer you and your staff several news sources to help your practice run smoothly:

    New! Medical Policy Updates – We're now sending postcards as a more convenient way to inform you about our medical policy updates.

    News Flash – the latest Premera news updates (posted online only).

    News Briefs – updates (mailed) on payment policies, claims, pharmacy updates (located on the secure website due to confidential reimbursement, fee schedule or contract changes).

    Medical Network News – quarterly newsletter featuring the latest company news, medical policies, online services, and administrative information.

    Dental Network News – quarterly newsletter for dental providers featuring the latest dental policies, online services, and administrative information.

    EDI News (Electronic Data Interchange) – quarterly newsletter for office billing staff, billing services and software vendors featuring important information related to electronic transaction processing.

  • Medical Policy Updates

  • News Flashes

  • Medical Network News

    Current Edition

    February 2014 

    • New Metallic Plans Require Prior Authorization for Out-of-Network Requests
    • Affordable Care Act Gives Members Three-Month Grace Period for Payment
    • Network News Transitions to Online Format
    • Non-Grandfathered Plans Not Extended in Washington
    • EFT, Online Prospective Review Tools
    • Premera Medicare Advantage Referral Process, Webinars
  • November 2013 

    • Risk Adjustment and Coding
    • New Individual, Small Group Plans for 2014
    • New Medicare Advantage Plans
    • Medical and Payment Policy Updates
    • Medical and Payment Policy Updates

    August 2013 

    • Premera Files New Plans for 2014
    • Online Prospective Review Tool Updates
    • Online Explanation of Payment
    • Medical and Payment Policy Updates

    May 2013 

    • Healthplanfinder Exchange Update
    • Amazon In-Network Only Plan
    • Find a Doctor Tool Enhancements
    • Hysterectomy Medical Policy
    • Medical Policy Updates

    February 2013 

    • "Washington Healthplanfinder" Receives Conditional Approval
    • New Design for Premera.com Provider Website
    • PremeraNews.com Blog Demystifies Healthcare Coverage
    • Medical and Payment Policy Updates

    November 2012 

    • Transparency Resources Help Members Identify Costs
    • Disease Management Guides Members on Road to Better Health
    • New Controlled Substances Utilization Program
    • Sleep Apnea Device Requires Rental Before Purchase
    • Medical Policies 

    August 2012 

    • Premera Continues with Healthcare Reform
    • Women’s Preventive Health Benefits
    • New Medical Policy for Vitamin D Testing
    • Home Care: Important Information about Homebound Status
    • Utilization Management Information for Providers
    • Medical Policies 

    May 2012 

    • HIPAA 5010 Update
    • ICD-10: How is Premera Preparing?
    • Overview of Care Magement programs
    • One-DayInpatient Hospital Stays vs. Observation
    • Guidelines for Ancillary Claims Filing
    • Medical Policies

    February 2012 

    • HEDIS Medical Record Review Starts in March
    • Use TH Modifier for Three or Fewer Prenatal Services
    • Disease Management Program Changes
    • CMS ICD-10 Implementation Handbooks
    • UB-04 Billing Guidelines for Facility Claims
    • Medical Policies

    November 2011 

    • ICD-10: How is Your Organization Preparing
    • Premera Seeks NCQA Accreditation
    • Global Maternity Services
    • Immunization Administration with an office visit
    • In Time for Flu Season: Expanding Access to Immunizations
    • Medical Policies

    August 2011 

    • Refund and Corrected Billing Processes
    • Online ‘Provider Finder’
    • ICD-10 Preparedness
    • Preventive Services and Frequency Limits
    • Calculation of Anesthesia Units
    • WA Childhood Vaccine Program
    • Medical Policies

    May 2011 

    • Healthcare Reform and Preventive Services Benefits
    • Corrected Claims Clarified
    • Timed Physical Medicine Codes – Modifier 52
    • Surgical Assistant Modifiers
    • Online Tools: Prospective Review and Clinical Review by Code
    • New Quantity Limits for Oxycontin
    • Medical Policies

    February 2011 

    • New Mobile Proof of Coverage
    • Care Compass Program
    • HEDIS Medical Record Review
    • Billing Reminders for Physical and Rehab Therapy
    • Provider Portal Time-Saving Tips
    • Electronic Pharmacy Alerts
    • Medical Policies

    November 2010 

    • Administrative Simplification Legislation
    • ProviderSource Credentialing
    • Premera and Healthcare Reform
    • Preparing for HIPAA 5010
    • Benefits of Real-Time Estimates
    • Online Utilization Review
    • Polypharmacy Celebrates 10 Years
    • Updated Provider Reference Manual
    • Medical Policies

    August 2010 

    • Providers and Premera Team Up to Improve Processes
    • Join the Online Provider Panel
    • Washington Childhood Vaccine Program
    • ProviderSource Goes Live
    • Medical Necessity Liability Requirements
    • Claims Editing Updates
    • Billing Medicare Advantage Claims
    • FEP Wellness Initiatives
    • Medical Policy Updates

    May 2010 

    • Column by Premera’s Chief Medical Officer and Senior Vice President, Roki Chauhan, MD
    • Care Facilitation Becomes Integrated Health Management
    • Federal Mental Health Parity and Addiction Equity Act
    • Claims and Payment Policy Updates
    • Online Benefit Advisory Tool
    • New BlueCard Members
    • Real-Time Claims Tool Increases Efficiency

    February 2010 

    • Company Updates
    • Claims & Payment Policy Updates
    • Online Services Updates
    • Administrative Resources
    • Pharmacy Updates
    • BlueCard Updates
    • Medical Policy Updates

    October 2009 

    • Company Updates
    • BlueCard Updates
    • Claims & Payment Policy Updates
    • Online Services Updates
    • Medical Policy Updates
    • Administrative Resources
    • Pharmacy Updates

    August 2009 

    • Company Updates
    • Claims & Payment Policy Updates
    • Online Services Updates
    • Medical Policy Updates
    • Pharmacy Updates
    • Administrative Resources

    May 2009 

    • Company Updates
    • Claims & Payment Policy Updates
    • Medical Policy Updates
    • Pharmacy Updates
    • Administrative Resources

    February 2009 

    • Company Updates
    • Claims & Payment Policy Updates
    • Medical Policy Updates
    • Pharmacy Updates
    • Online Services Updates

    October 2008 

    • Company Updates
    • Claims & Payment Policy Updates
    • Online Services Updates
    • Medical Policy Updates
    • Pharmacy Updates
    • Administrative Resources

    August 2008 

    • Company Updates
    • Medical Policy Updates
    • Claims & Payment Policy Updates
    • Pharmacy Updates
    • Online Services Updates
    • Administrative Resources

    May 2008 

    • Company Updates
    • Claims & Payment Policy Updates
    • Medical Policy Updates
    • Pharmacy Updates
    • Online Services Updates
    • Administrative Resources

    February 2008 

    • Company Updates
    • Claims & Payment Policy Updates
    • Medical Policy Updates
    • Administrative Resources
    • Online Services Updates
    • BlueCard Updates
  • Dental Network News

    Current Edition

    February 2014 

    • New and Renewing Groups
    • Researching Amalgam Filtration Systems
    • Claims Tips: FastAttach System, Diagnosis Codes
    • Premera Requires National Provider Identifier (NPI)
  • November 2013 

    • New Individual and Small Group Pediatric Dental Plans
    • New Senior Dental Plan
    • Prior Authorization for Pediatric Orthodontia Treatment
    • New and Renewing Groups

    August 2013 

    • Pediatric Dental Coverage in the Exchange
    • Tips for Submitting Dental Claims
    • Online Services Updates
    • Credentialing Notifications

    February 2013 

    • CDT 2013: Dental Procedure Codes
    • NEA FastAttachTM Special Promotion
    • New Design for Premera.com

    February 2012 

    • Mobile Proof of Coverage Now Available to Members
    • Update to Coordination of Benefits
    • Address Guidelines for HIPAA 5010
    • Tips for Submitting Claims
    • Billing Prophylaxis and Periodontal Scaling and Root Planning
    • National Electronic Attachment, Inc. (NEA)
    • FastAttach Tips to Ensure Proper Claims Imaging and Prevent Processing Delays

    November 2011 

    • New and Renewing Groups
    • Dental Copay Plan Goes Live
    • Online Provider Finder
    • Tips for Submitting Claims
    • National Electronic Attachment, Inc. (NEA) FastAttach
    • Outpatient Facility and Anesthesia to Deliver Dental Care
    • Real Time Estimate/Claim Tool – Getting Online Benefit Information for Your Patient

    August 2011 

    • New and Renewing Groups
    • HIPAA 5010 Update: Complete Address Ensures Provider Payment
    • Corrected Claims Clarified
    • Electronic Claims, Coordination of Benefits (COB) when Premera is the Secondary Payer
    • Tips for Submitting Claims
    • Consideration of Benefits for Inlays, Onlays and Crowns
    • Premera Begins Downloading ProviderSource Credentialing Data

    February 2011 

    • New and Renewing Groups
    • New Application for Premera Members: Mobile Proof of Coverage
    • Claims Processing Tips
    • Preventive Resin Restorations
    • Keeping Demographic Information Current
    • The Reference Manual
    • Mark Your Calendars – 2011 Dental Conferences

    November 2010 

    • Company Updates
    • Claims Update
    • Consultant’s Corner
    • Online Services Update
    • Administrative Resources
    • Community Connection
    • Fall/Winter Fun

    August 2010 

    • Company Updates
    • Claims Update
    • Administrative Resources
    • Consultant’s Corner
    • Community Connection
    • Summer/Fall Fun

    February 2010 

    • New and Renewing Groups
    • Claims Submitting Tips
      Preventive Sealants
    • Credentialing Increases Practice Visibility
    • What’s Coming – Calculate Patient Share of Cost
    • 2010 Dental Conferences

    October 2009 

    • Company Updates
    • Claims Update
    • Legislative Updates
    • Online Services Update
    • Consultant’s Corner
    • Administrative Resources
    • Community Connections

    August 2009 

    • Company Updates
    • Claims Update
    • Consultant’s Corner
    • Administrative Resources
    • Community Connections
    • Summer Fun

    October 2008 

    • Company Updates
    • Administrative Resources
    • Claims Update
    • Community Connection
    • Fall Fun

    August 2008 

    • Company Updates
    • Consultant’s Corner
    • Claims Update
    • Administrative Resources
    • Community Connections
    • Summer Fun

    February 2008 

    • Company Updates
    • Claims Update
    • Consultant’s Corner
    • Administrative Resources
    • Community Connections
    • Winter/Spring Fun
  • EDI News

    Current Edition

    September 2013