Provider News

  • Premera awards six community grants to behavioral health nonprofits

    Nearly $600,000 granted to nonprofit organizations throughout Washington state.

    Learn more

  • Policy updates

    News

  • Online tools 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.
    How Providers Can Help Manage Trauma

    How Providers Can Help Manage Trauma | 2/21/2019

    The start of a healthy life starts with a healthy family. Providers can help.

    Best Practices for Patient Education | 1/17/2019

    How do you educate your patients about preventive care versus diagnostic visits?

    New Web-Based Training for Busy Clinicians | 9/20/2018

    Providers: Learn how to more efficiently document and code with a web-based training.

    Find a Doctor Tool: Upgrades and Changes | 9/6/2018

    Premera is making it easier for members to find you!
  • More online tools and resources news

  • Medicare Advantage

    Medicare Advantage Part B Specialty Drugs May Require Step Therapy | 4/4/2019

    The Centers for Medicare and Medicaid Services issued new step therapy guidelines for certain Part B specialty drugs.

    Updates for Medicare Advantage Policy | 4/4/2019

    New updated medical policies are available.

    Tips to Improve Health Outcomes Survey HEDIS Measures | 3/21/2019

    Remember to discuss fall risk, urinary incontinence, and physical activity with Medicare patients.

    Landmark 2019 Eligibility Changes | 3/7/2019

    Some Landmark patients will transition to our Medical Management program.
  • More Medicare Advantage news

  • Company updates

    Premera Awards Six Community Grants to Behavioral Health Nonprofits

    Premera Awards Six Community Grants to Behavioral Health Nonprofits | 4/18/2019

    Nearly $600,000 granted to nonprofit organizations throughout Washington state.

    April Is Stress and Alcohol Awareness Month | 4/18/2019

    Providers can create a safe space for patients.

    Medical Scam Seeks Member Information | 4/18/2019

    A nationwide scam is targeting patients and health plans.

    Northwest Kidney Centers Opens Clinic in Pierce County | 4/4/2019

    There are now more options for dialysis in Pierce County.
    Upcoming Free AIM Genetic Counselor Webinars

    Upcoming Free AIM Genetic Counselor Webinars | 3/21/2019

    Beginning March 28, AIM will host 3 free one-hour webinars for Genetic Counselors who need to register with OptiNet.

    Premera Is Partnering With the Seattle Sounders

    Premera Is Partnering With the Seattle Sounders | 3/21/2019

    To Celebrate 10 Years in the MLS, Premera and the Sounders are in your corner.
  • 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.

    Premera Announces Total Joint Replacement RFP for Providers | 10/18/2018

    Premera will award multiple bundle contracts for total hip and knee replacement in Washington state.
  • More high-value care news

  • Reminders and updates

    What Is Cross Functional Claims Editing? | 4/18/2019

    Professional and facility claims will be compared against each other for billing issues.

    Check Your Claim for Edits Before You Submit | 4/12/2019

    Use “What If” tool to find out if you’ll encounter a claim edit.

    Explanation of Payment (EOP) Changes and Updates | 4/4/2019

    The Explanation of Payment (EOP) system has been updated and is now working smoothly.

    A New Option for Digital ID Card | 3/21/2019

    Premera app adds fax option for digital ID cards.
  • More reminders and updates news

  • Quality programs

    Medical and Behavioral Health Collaboration Survey Results

    Medical and Behavioral Health Collaboration Survey Results | 4/4/2019

    Communication and collaboration between primary care and behavioral health practitioners can improve your patient’s quality of care. See the 2018 key survey results.
    HEDIS Quality Measure: Colorectal Cancer Screening

    HEDIS Quality Measure: Colorectal Cancer Screening | 3/21/2019

    March is Colorectal Cancer Awareness Month: Remind your patients of the importance of colorectal cancer screening.

    Acute, Chronic or Historical – What Is the Correct Code for DVT/PE? | 2/21/2019

    Understand the difference in documentation requirements of acute, chronic or historical DVT/PE.

    Use, Abuse or Dependence – Substance-Related Disorders | 2/7/2019

    Tips for documenting of substance-related disorders to prevent incorrect coding.
  • More quality programs news

  • Pharmacy

    Voluntary Drug Recall on Losartan Products | 4/4/2019

    What you need to know about the impact to your patients taking this drug.
    New Online Option for Pharmacy Prior Authorization Renewal Requests!

    New Online Option for Pharmacy Prior Authorization Renewal Requests! | 3/7/2019

    Receive early notification about upcoming pharmacy PA expirations and submit your ePA renewal requests online.

    Remicade and Orencia: New Claims Edits Effective in June | 3/7/2019

    What you need to know about upcoming edits for Remicade and Orencia.

    Major Price Reduction for Cholesterol Drug | 1/3/2019

    New drug code for Repatha due to a 60% price reduction.
  • More pharmacy news

  • Dental

    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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