December 19, 2019
Evolent Health (Evolent) will adjudicate all claims for 2020 Individual Plans. You may notice slight differences in allowed amounts when compared to Premera due to rounding, edits, or fee schedule update timing, among other factors.
You have two options to submit claims:
- You can continue to submit claims electronically as you do today.
- If you submit paper claims, continue to use the industry standard claims form and mail it to the new mailing address below:
Claims mailing address:
Premera Blue Cross of Washington
PO Box 21702
Eagan, MN 55121
If you accidently mail to the Premera commercial PO Box, Premera will forward the claim to Evolent.
- There’s an option to submit HCFA (CMS 1500) claims on the new Individual secure website, however this function isn't available yet. In the meantime, you can sign up for Office Ally, a full-service clearinghouse offering a web-based service where providers can submit claims to Participating Payers (Premera included) at no cost. Office Ally’s online claim entry allows you to create CMS1500, UB04, and ADA claims on their website; or you can use your existing software to create and submit claims electronically. Or you can submit a paper HCFA (CMS 1500) claim to the address above.
- You can check the status of your submitted claims and receive a claims list for each of your patients using available tools on the Evolent secure site starting January 1, 2020.
- Use our step-by-step guide to learn about the secure website claims tools.