Provider News

  • Policy updates


  • Online tools and resources

    Register Your Imaging Facility Today | 10/4/2018

    Adding your information will help patients make informed decisions about their care.

    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!

    Check for Complete Dental and Vision Member Benefits | 8/17/2018

    Dental and vision providers: Online tool allows for easy access to member benefits.

    Wonder How Your Patients Find You? | 8/2/2018

    A look at our updated “Find a Doctor” tool

    Premera Claims Editor Updated Regularly | 8/2/2018

    Test your claims before submitting!
  • More online tools and resources news

  • Medicare Advantage

    Premera Blue Cross Medicare Advantage 2019 Plans

    Premera Blue Cross Medicare Advantage 2019 Plans | 12/6/2018

    New information about our plans is available online.

    HEDIS Quality Measure: Rheumatoid Arthritis | 11/15/2018

    Tips for correct coding and diagnosing rheumatoid arthritis.

    Transitioning Soundpath Members to Premera’s Care Management Program | 11/15/2018

    Soundpath will continue to manage care for their members through 2018.

    New Medicare Advantage Prior Authorization List | 11/1/2018

    November Policy Update
  • More Medicare Advantage news

  • Company updates

    Premera and MultiCare Partnering to Launch Peak Care

    Premera and MultiCare Partnering to Launch Peak Care | 12/6/2018

    Peak Care will provide access to the Tahoma provider network.
    Upcoming Free AIM Genetic Testing Webinars

    Upcoming Free AIM Genetic Testing Webinars | 11/15/2018

    Beginning November 16, AIM will host webinars for providers who order genetic testing.
    A Community for Children and Families

    A Community for Children and Families | 11/15/2018

    The Children's Village is dedicated to meeting the needs of children with special health care needs and their families.

    Homelessness Is a Healthcare Issue | 11/1/2018

    Premera is partnering with Covenant House Alaska to help accomplish the vision of eradicating youth homelessness.

    Out-of-Area Medical Records Requests | 10/18/2018

    Inovalon will be used for all medical records retrieval on behalf of Blue Cross Blue Shield Association plans outside of Premera’s network.
    How Early Detection and Humor Helped Angie Mentink Survive Breast Cancer

    How Early Detection and Humor Helped Angie Mentink Survive Breast Cancer | 10/18/2018

    Angie is teaming up with Premera Blue Cross to help spread the word about early detection.
  • More company updates news

  • High-value care

    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.

    Costs by Region – Vaginal and C-Section Delivery | 9/6/2018

    How costly is giving birth in your region?

    Costs by Region – Knee Arthroscopy and Knee Replacement | 7/19/2018

    Just how costly are these two common knee procedures?
  • More high-value care news

  • Reminders and updates

    Help Patients Find You

    Help Patients Find You | 12/6/2018

    Would you like to see more Premera members? Update your profile today!
    Telehealth Available for Premera Members

    Telehealth Available for Premera Members | 12/6/2018

    Update your information to let patients know you’re available for virtual appointments!

    Billing Bilateral or Unilateral Services | 12/6/2018

    Tips for billing modifier LT, RT and 50 on procedures that are bilateral and/or unilateral.

    Changes to Microsoft Benefits for Physical and Occupational Therapy | 11/15/2018

    Starting January 1, outpatient rehabilitation services will no longer require prior authorization for Microsoft patients.
  • More reminders and updates news

  • Quality programs

    Respiratory Failure: Acute, Chronic Or Both? | 12/6/2018

    Understand what documentation is needed to code respiratory failure to the highest level of specificity.

    Seizure, Seizure Disorder, Epilepsy – What’s the Difference? | 11/15/2018

    Coding a seizure as epilepsy is a common, but serious coding error.

    Home Test Kits for Colorectal Cancer | 11/1/2018

    Members in eastern Washington and Alaska will receive a home test kit. Here’s what you need to know.

    Common Mistake: Coding Cancer as Active When It’s Not | 11/1/2018

    Reduce incorrectly coded cancers by clearly documenting active vs historical cancer.
  • More quality programs news

  • Pharmacy

    Cologuard’s DNA Test Is Higher Cost to Members Than Standard FIT Kits | 12/6/2018

    Learn why FIT Kits are just as effective for at-home colon cancer screening.

    FDA Issues Voluntary Recall on Irbesartan Products | 12/6/2018

    Learn how this may affect your Premera patients.

    Pharmacy Prior Authorization Edit Expansion Program December 2018 | 12/6/2018

    Which new edits are included in the Pharmacy Prior Authorization Edit Program?
    Responding to the Opioid Crisis

    Responding to the Opioid Crisis | 11/15/2018

    How Premera is doing more to reach members at-risk for opioid and substance abuse in 2019.
  • 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.

    Access for Complete Dental and Vision Member Benefits | 7/19/2018

    Dental and vision providers: Sign up for secure access today to get member benefits info online.

    For Medicare Advantage Dental Benefit Questions | 7/19/2018

    Call the number on the back of the ID card for fast service.
  • More dental news

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