Company Updates

Effective January 2026: Carelon to begin site of service reviews for advanced imaging services.

Health plans sign national pledge to make getting care approved easier.

Understanding the New IMRT and Proton Beam Therapy Payment Policy

Learn more about the new Intraoperative Neurophysiologic Monitoring (IONM) billing policy.

New program helps member get quality service at an affordable rate.

You may receive a request for medical records from Cognisight.

Policy changes will affect facility readmission claims starting September 5.

On January 1, 2026, Premera Will Join Dental GRID network.

Some drugs will experience a formulary or medical policy change starting July 2025. Learn more!

Certify makes credentialing verification faster.

Guide helps you understand the details of submitting telehealth claims.

Trend Health Partners provides credit balance resolution and recovery.

Learn about an important change to our maintenance schedule.

New time-saving process features new vendor CAQH and the end of paper applications.

Learn the essentials of lifestyle medicine for your practice.

New updated information.

As of December 20, 2024, Premera Blue Cross is collecting REL data from members.

Fee schedule maintenance for 2025.

You don’t need to sign in to OneHealthPort to view payment policies on Premera.com.

Changes take effect January 1, 2025.

FEP overpayments will follow the commercial plan process.

Tahoma and Tahoma Dental Choice Networks to sunset December 1, 2024.

Critical care services rendered in the emergency department when a patient is discharged home may no longer be reimbursed.

Performant Healthcare Solutions will audit durable medical equipment, home infusion therapy, home health, and skilled nursing facility claims starting November this year.

Meet Dr. Romilla Batra, our new senior vice president and chief medical officer.

Status P codes and Code G2211 will no longer be reimbursed.

More information available on Change Healthcare website.

This event is part of a new partnership between Premera and the Boys & Girls Club of South Puget Sound.

Three clinics in Western Washington will receive funds from Premera Blue Cross to implement the UW Collaborative Care model.

Community collaboration leads to first pediatric residency in Eastern Washington.

Tell us about your recent experience with us using PremeraLISTENS.

Throughout this year, we’ll introduce you to individuals whose lives have been transformed and the non-profit organizations that made it possible.

You may be able to use an alternate platform for claims.

Changes to primary care provider selection and referral requirements.

Starting in 2024, coverage of bariatric surgery for Blue Cross and Blue Shield FEP members is now provided in accordance with the new medical policy (FEP 7.01.47 Bariatric Surgery).

Improving health equity and homelessness is part of Premera’s mission to make healthcare work better.

Changes to prior authorization and medical necessity review requirements for some Blue Cross and Blue Shield Federal Employee Program plan members.

Learn more about our networks.

Find out what you need to know when seeing new Premera members starting January 1, 2024.

Find out more about CERIS itemized bill review.

Federal Employee Program changes and updates for 2024.