Find provider resources, including online tool user guides, forms, and more.
View sample ID cards, learn about plans, new networks, and copays with our ID Card Guide.
Our user guides include step-by-step instructions with screenshots showing you how each online tool works. Share them with your office staff and let us know if you have feedback.
BlueCard Pre-Service Review Router - Submit online pre-service review requests for BlueCard members via their home plan's website.
Claims and Payments - Get claim status, detailed payment information, and even download your Explanation of Payments (EOPs).
Claims Editor/What If Tool - Test billing scenarios (for professional services only) and code combinations with our claims editing software that displays specific coding rationale.
Dental Eligibility and Benefits - Get dental member eligibility and benefit information, including deductible and benefit limit accumulators.
Electronic Funds Transfer - Enroll in Electronic Funds Transfer (EFT) for your Premera/affiliate payments.
Explanation of Payments - Look up, print, and download PDFs of your Explanation of Payments (EOPs).
Medical Eligibility and Benefits - Get medical member eligibility and benefit information, including deductible and benefit limit accumulators.
PCP Roster - Download a roster of our members who've selected a PCP in your office.
Prospective Review - See if a code needs medical necessity review, submit a review, or check the status of an existing review.
Real-Time Estimates - Estimate patient costs for professional and dental services, and submit claims in real-time (medical only, upon request).
To use these online tools, please log in to our secure provider site.