Provider News

  • Policy updates

    News

  • Online tools and resources

    Search Provider News Articles | 6/7/2018

    Use our new search function to find past articles or topics.

    Access Prior Authorization Requirements Online | 4/19/2018

    If you submit prior authorization requests, you’ll want to know about improvements to our tool!

    Premera Vision Benefits Now Available Online | 4/19/2018

    Now you can get all the vision info you need online.

    Access Detailed Vision Benefits Online | 4/5/2018

    Do you regularly look up patient vision benefits?

    Access Detailed Dental Benefits Online | 2/16/2018

    Save time by viewing your patient’s complete dental benefits online.

    Patients Can Compare Treatment Costs Online | 2/16/2018

    We’re providing cost information to help patients make more informed choices.
  • More online tools and resources news

  • Medicare Advantage

    Best Practices for Coding Diabetes | 6/7/2018

    More specific coding is better and documents your quality of care.

    Medical Records Requests From CIOX Health | 5/17/2018

    Medical records teams: you may receive a call from CIOX Health, working on our behalf.

    HEDIS Quality Measure: Colorectal Cancer Screening | 5/17/2018

    Primary care practices: do you know the requirements for screening your MA patients?

    Osteoporosis Screening | 5/17/2018

    Primary care practices: you may receive a call from Premera about your patients who need osteoporosis screenings.
  • More Medicare Advantage news

  • Company updates

    Changes to Outpatient Rehabilitation Services Effective June 7

    Changes to Outpatient Rehabilitation Services Effective June 7 | 6/7/2018

    Washington Senate Bill 6157 changes what providers need to do for outpatient rehabilitation service.

    Premera and Emerging Cell/Gene Therapies | 6/7/2018

    Oncology practices and eye specialists: learn about our approach to CAR T-cell and gene therapies.

    New Law on Stem Cell Therapy | 6/7/2018

    If you provide stem cell therapies or related therapies, you’ll want to know about this new state law, effective this month.

    Flexible Network begins January 2019 | 5/3/2018

    If you’re with a hospital or ambulatory surgical center, you’ll want to know about this national Blue Cross Blue Shield network that evaluates providers on cost and quality.

    Cost by Region for Brain MRI | 5/3/2018

    Compare costs of brain MRIs in your region.

    Premera Organizational Announcement | 5/3/2018

    Learn about changes in Premera leadership.
  • More company updates news

  • High-value care

    Costs by Region – CT Lower Back without Contrast | 6/7/2018

    The wide range of costs may surprise you.

    Report Highlights Cancer Care Quality and Cost | 6/7/2018

    How are Washington’s cancer care clinics and hospitals performing?
  • More high-value care news

  • Reminders and updates

    Submit Credentialing Only Through OHP | 5/17/2018

    Get the facts on how a new state law is changing credentialing.

    Diagnosis Not Typical for Age | 5/17/2018

    Claims teams – learn how to avoid a common coding mistake that causes edits on your claims.

    Procedure Not Typical for Age | 5/17/2018

    Learn about age-banded procedure codes and avoid claim denials.

    Unlisted and Miscellaneous Codes | 5/17/2018

    If you want to be reimbursed, make sure to include documentation when you use these types of codes.
  • More reminders and updates news

  • Quality programs

    Best Practices for Coding Diabetes | 6/7/2018

    More specific coding is better and documents your quality of care.

    Colorectal Cancer Screening Requirements | 5/17/2018

    Primary care practices: do you know the HEDIS® requirements for colon cancer screening?

    Medical and Behavioral Health Collaboration Survey | 4/19/2018

    If you’re a primary care provider, you’ll want to see these findings!

    Tackling Tough Decisions with Your Patients | 2/16/2018

    Clinicians: discover a new tool that jumpstarts important conversations with your patients and supports informed care decisions.
  • More quality programs news

  • Pharmacy

    Pharmacy Prior Authorization Edit Expansion Program June 2018

    Pharmacy Prior Authorization Edit Expansion Program June 2018 | 6/7/2018

    View the latest drugs and their related policies for our prior auth program.

    Are You Prescribing Overpriced Acne Medications? | 5/17/2018

    Our new pharmacy policy removes grandfathering on high-cost acne medications.

    Preferred Manufacturer for Diabetes Test Strips and Supplies | 5/17/2018

    All Premera customers must use LifeScan, Inc. diabetes meters and test strips starting July 1, 2018.

    Safety Edits to Opioid Prescription Policy Starting April 16 | 4/13/2018

    Find out the details on new policies to prevent the risk of opioid addiction.
  • More pharmacy news

  • Dental

    Dentists Can Reduce Risk of Opioid Addiction | 4/19/2018

    Did you know that dentists are the most prevalent prescribers of opioids for teens?

    Premera Promotes Preventive Dental Care | 4/19/2018

    We’re reaching out to members who haven’t had preventive dental care recently.

    A Change to Dental Anesthesia Claims | 4/19/2018

    Dental office teams: you’ll want to know about this change to anesthesia claims, beginning with claims received May 1.

    Medicare Part D and CMS Enrollment | 3/1/2018

    If you provide care to Medicare Advantage patients and you prescribe Part D drugs, you must have an enrollment application on file with Medicare.

    Premera Dental Benefits Now Available Online | 2/16/2018

    Visit our website to view detailed dental benefits, personalized for each of your patients!
  • More dental news

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