Almost always, in-network and BlueCard® PPO network providers will file claims for you. However, if you receive care from a provider outside of the BlueCard network you may have to pay the provider for the service and file a claim for reimbursement.
Please see your benefit booklet for more details on filing claims.
You can request a review if you disagree with how a claim was paid as it is described on your Explanation of Benefits (EOB). Premera Blue Cross must receive your request to review a claim within 180 days after you receive your EOB. You can either call Customer Service at 800-995-2420 or submit a written request. If you suspect fraud in the processing of your claim- such as payments that were made for services you didn't receive, please call the Anti-Fraud Hotline at 800-848-0244.
To submit a written request for appeal, write to:
Premera Blue Cross
ATTN: Claims Appeals
P.O. Box 91102
Seattle, WA 98111-9202
Get your EOB (Explanation of Benefits) by email.