Provider News

  • Policy updates

    News

  • Online tools

    Improve Our Provider Website | 5/18/2017

    Try our easy card sort activity.

    Changes to Prospective Review Web Page | 5/18/2017

    Prospective review will be called prior authorization, plus new locations for links.

    Check for Claim Edits | 5/4/2017

    Use Premera’s Claims Editor-What If tool to test claims before submittal.

    Electronic Funds Transfer | 5/4/2017

    Learn how to enroll, change your bank information, and more.

    A New Look for My Premera | 4/6/2017

    Watch for a new landing page coming later this month.
    Share Your Feedback About Our Website

    Share Your Feedback About Our Website | 4/6/2017

    Survey now available on secure provider landing page.
  • Medicare Advantage

    In-Home Bone Density Screenings | 5/18/2017

    MedXM will provide in-home bone density screenings for Medicare Advantage members.

    Medicare Enrollment Validation | 5/4/2017

    Revalidate your application when reminded by CMS.

    HEDIS Requests Start in February | 2/1/2017

    Medical records request conducted by Providence Health Plan.

    Vaccine Coverage | 2/1/2017

    Help your patients avoid unexpected bills for vaccines.
  • Company updates

    ACA Possible Changes: Premera’s View | 5/18/2017

    Lean about Premera’s perspective on possible changes to the Affordable Care Act.

    Code Modifier for Habilitative Services | 5/4/2017

    Use the HCPCS modifier SZ when billing habilitative services.

    Phone Audit by Pacific Market Research | 4/20/2017

    You may receive a call from Pacific Market Research to verify your provider directory information.
    Helping Patients with Chronic Conditions

    Helping Patients with Chronic Conditions | 3/6/2017

    Landmark Health and providers collaborate to reach patients with multiple health conditions.
    Shared Decision-Making Resources

    Shared Decision-Making Resources | 3/2/2017

    New tools help our customers make better-informed health decisions.

    Free Credit Monitoring Concludes | 3/2/2017

    Find out the options for continued monitoring.
  • Reminders and resources

    Confirm Your Directory Information | 5/18/2017

    If you receive a form, review and return it.

    Reminder: Coding Update | 5/18/2017

    Be aware of the coding change for colonoscopy consultations.

    Contact Information for Clinical Appeals | 4/20/2017

    For faster service, send your appeal to the right fax number.

    Coordination of Benefits Tip | 4/20/2017

    For timely claims processing, avoid highlighter pen.
  • Quality programs

    Out-of-area Medical Records Requests | 3/2/2017

    Find out more about medical records requests from other BCBSA plans.

    Access to Practitioners | 3/2/2017

    Learn about our annual research on practitioner appointment accessibility and our related policy.

    HEDIS Requests Begin in February | 2/1/2017

    Verscend requesting HEDIS data for Premera customers.

    Improving Medical and Behavioral Health Collaboration | 1/26/2017

    2016 annual survey shows improved collaboration, opportunity for better patient care.
  • Pharmacy

    Pharmacy Prior Authorization Edit Expansion Program | 5/18/2017

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

    New Formulary Search Tool | 4/6/2017

    Quickly find reliable and current drug coverage and restriction information.
    New Epinephrine Pen Options

    New Epinephrine Pen Options | 4/6/2017

    Plan now for EpiPen refills.

    Differin 0.1% Gel Now Over-The-Counter | 4/6/2017

    Learn about another opportunity to manage the high cost of drugs for patients.
  • Dental

    Dental Fee Schedules | 5/18/2017

    Learn how, when, and why we review dental fee schedules.

    Dental Claims Processing Change | 4/6/2017

    See details about the change to provider liability for certain dental claims.
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