Verifying Member Eligibility and Benefits

  • October 15, 2020

    The benefits of each Premera plan vary widely. Here are multiple ways to verify member eligibility and benefits.

    • Premera’s secure provider website is the quickest way to get secure, personalized, easy-to-use information. Providers can verify member eligibility and benefits (including plan effective dates), basic demographic information, deductible, and benefit limit accumulators. You can also check claim status.
    • Our Interactive Voice Response (IVR) provides specific, self-service information and is available 24/7. To get eligibility, general benefit information, and claims information, enter the member's ID number, date of birth, and the physician's tax ID number. Information available on the IVR system varies by plan. To hear provider IVR options, call 800-722-4714, option 2.

    To learn more about member eligibility and benefit tools, visit the Premera Learning Center or attend the Provider Workshop: Eligibility and Benefits on Wednesday, November 11 at 1:30 p.m.

    Sign up here

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