Provider News

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  • Online tools and resources

    Online Coding Resources

    Online Coding Resources | 3/13/2020

    Online tutorials and user guide help improve coding.

    Online Tools and Training Available | 2/20/2020

    Learn about plans, new networks, copays, and view sample ID cards.
    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.
  • More online tools and resources news

  • Medicare Advantage

    New Clinical Documentation Improvement Program Starts This Month | 3/13/2020

    The incentive-based program helps providers create CMS-compliant medical records. documentation.

    Do Your Patients Have Medicare Questions? | 3/13/2020

    We offer several resources for those turning 65 soon.

    Do You Know Your HEDIS Measures Patients Score? | 3/13/2020

    Gain insights about your patients on improving the patient experience and Health Outcomes Survey results.

    Improve Health Outcomes for HEDIS Survey | 3/5/2020

    Remember to discuss fall risk, urinary incontinence, and physical activity with Medicare patients.
  • More Medicare Advantage news

  • Individual plans

    View Individual Plan Deductibles, Benefits, and PCPs

    View Individual Plan Deductibles, Benefits, and PCPs | 3/19/2020

    Get tips for the Search Member Eligibility function.

    Incorrect Prefixes Printed for 2020 Individual Plans | 3/19/2020

    Get correct prefixes here.
    Individual Plans No Longer Using eviCore Healthcare

    Individual Plans No Longer Using eviCore Healthcare | 3/19/2020

    Learn how to submit a prior authorization for outpatient rehabilitation services. 

    New Claims Mailing Address for 2020 Individual Plans | 3/19/2020

    Tips for processing claims for 2020 Individual Plans.

    Appeal Process for 2020 Individual Plans | 3/19/2020

    Learn how to submit clinical and claim appeals and request peer-to-peer reviews.
  • More individual plan news

  • Company updates

    COVID-19 Updates | 3/16/2020

    Premera is working to provide the most accurate COVID-19 information.
    Premera Response to COVID-19

    Premera Response to COVID-19 | 3/5/2020

    Premera is ready to support members and healthcare providers during the COVID-19 outbreak.

    Minding Mental and Heart Health | 2/20/2020

    Did you know 33%of people who’ve survived a heart attack will suffer from depression?

    Useful Links for Premera Network Providers | 2/6/2020

    Easy access to electronic payments, member eligibility, and medical policies.

    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.
  • 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

    Save Time and Phone Calls with Our Prior Authorization Tool

    Save Time and Phone Calls with Our Prior Authorization Tool | 2/20/2020

    Our prior auth tool helps you check codes, confirm if a review is needed, get a reference number, and more.

    Update Your Provider Profile | 2/20/2020

    Updating your profile can help more patients find you!

    Sleep Equipment Replacement Units and Supplies Review Process | 2/6/2020

    Premera will review claims for replacement units and supplies.

    New Outpatient Facility Claims Edits | 2/6/2020

    Additional outpatient APC facility edits are coming in 2020.
  • More reminders and updates news

  • Quality programs

    Information on Well-Child Checkups Sent to Members | 3/5/2020

    Some FEP members will receive information about well-child checkups. Here’s what you need to know.

    HEDIS Quality Measure Changes | 2/20/2020

    The National Committee for Quality Assurance released changes for select HEDIS® Quality measures.

    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.
  • 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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