Provider News

  • New 2020 Individual Plans

    Network name change for Individual plans.

    Learn more

  • Policy updates

    News

  • Online tools and resources

    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

    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.

    Medicare Advantage Policy Updates | 6/20/2019

    Updated medical policies are now available.

    Open Care Gaps Mail Campaign | 5/2/2019

    Personalized lists of care opportunities are being sent to Medicare Advantage members.
  • More Medicare Advantage news

  • Company updates

    New 2020 Individual Plans

    New 2020 Individual Plans | 9/19/2019

    Network name change for Individual plans.

    Medical Policies and Claim Editing System for 2020 Individual Plans | 9/19/2019

    Evolent Health will begin managing many of the operational responsibilities for our Individual plans.
    Premera Awards $2.1 million in Community Grants Focusing on Behavioral Health

    Premera Awards $2.1 million in Community Grants Focusing on Behavioral Health | 9/5/2019

    Grants were made to seven nonprofit organizations to expand housing services for underserved communities.

    Premera Invests $10 million in Rural Health | 8/15/2019

    We are working to expand health care access and improve quality of care in rural communities.
    Premera and Vera Whole Health Bring New Primary Care Facilities to Spokane

    Premera and Vera Whole Health Bring New Primary Care Facilities to Spokane | 8/15/2019

    New primary care centers will add access and care options to members.

    Are You a New Contracted Provider? | 7/18/2019

    Here are some tools to help you serve your patients.
  • 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

    When Do You Bill an “Add-On” Code? | 9/19/2019

    Add-on codes are “add-ons” not a Primary service.

    Can I Bill a Consultation Code? | 9/19/2019

    Premera does not reimburse outpatient and inpatient consultation codes.

    Updates for the Find a Doctor Tool | 9/19/2019

    Is your information accurate?

    Provider Directory Survey | 9/19/2019

    This survey will help members help people find providers that offer Medication-Assisted Treatment.
  • More reminders and updates news

  • Quality programs

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

    Premera members received cancer screening reminders in August.

    In-Home Screening Test Kit | 8/15/2019

    Preventive and disease monitoring screenings will be mailed to qualifying members.

    HEDIS Quality Measure: Musculoskeletal Conditions | 7/18/2019

    Learn how HEDIS measures support proper management of rheumatoid arthritis and osteoporosis.
    Upcoming Mailing Campaign: HbA1c Testing for Patients with Diabetes

    Upcoming Mailing Campaign: HbA1c Testing for Patients with Diabetes | 7/18/2019

    Premera members with diabetes will receive a reminder to receive a Hemoglobin A1c test.
  • More quality programs news

  • Pharmacy

    Can You Help Your Patients Save Money? | 9/19/2019

    Check out less expensive options for ephedrine medications.

    Coverage Changes for Victoza | 9/5/2019

    What you need to know about upcoming edits for Victoza.

    What Is the Pharmacy Pre-Approval Program? | 8/1/2019

    Learn about the pharmacy pre-approval program review process.

    Coverage Changes for Lorzone and Generic Chlorzoxazone Tablets | 6/20/2019

    Pre-approvals needed starting July 1.
  • 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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