Reminders and Updates Archives - Premera Providers (WA)

Reminders and Updates

New Breast Exam Benefit for High-Deductible Plan Members

January 6, 2025

More members will have no cost shares for supplemental or diagnostic breast examinations.

Reminders and Updates

WA Senate Bill 6228 Brings New Rules for 2025

December 5, 2024

New rules are effective January 1, 2025, relating to the treatment of substance use disorders.

Reminders and Updates

Drug and Biologic Edits

December 5, 2024

Additional information about new drug and biologic edits.

Reminders and Updates

What to Know About the New Law Ensuring Access to Emergency HIV Post Exposure Prevention

December 5, 2024

Learn about new Washington state requirements for cost-sharing, prior authorization, and reimbursement for HIV post-exposure prophylaxis drugs.

Reminders and Updates

Postal Employees Added to Federal Employee Program Payer Starting January 1

November 7, 2024

Payer name changes in Availity to include postal members.

Reminders and Updates

Billing for Wasted and Administered Drugs

October 3, 2024

Drug waste will be reimbursed when billed with correct modifiers.

Reminders and Updates

Adding a Description for Unlisted Procedure Codes

October 3, 2024

Include a description of the service rendered when billing an unlisted procedure code.

Reminders and Updates

Reminder: Availity Essentials Claim Denial Messaging Enhancement Now Live

09/05/2024

Reminders and Updates

Reminder: FEP Paper Explanation of Payments Ending August 1

8/1/2024

Reminders and Updates

Air Ambulance Patient Transportation

07/08/2024

When is it appropriate for your patient?

Reminders and Updates

Refer Patients to In-Network Providers

07/08/2024

Help reduce your patients’ out-of-pocket costs.

Reminders and Updates

Annual Risk Adjustment Data Validation Audits

07/08/2024

Your office may receive a request for medical records.

Reminders and Updates

Preventive Service Updates Coming in July

June 6, 2024

Mark your calendar for benefit changes effective July 1.

Reminders and Updates

FEP Paper Explanation of Payments Ending August 1

May 2, 2024

Paper FEP explanation of payments ending August 1 for those using electronic funds transfer.

Reminders and Updates

Durable Medical Equipment Modifiers and Units

May 2, 2024

Make sure to append the correct modifier and number of units.

Reminders and Updates

Upcoming Durable Medical Equipment Edits

April 4, 2024

Durable medical equipment edits are coming to the claims editor.

Reminders and Updates

Correct Coding Edits Coming to Claims Editor

April 4, 2024

Correct coding of diagnosis codes, procedure codes, and place of service codes to be implemented.

Reminders and Updates

Provider Directory: Are You Verified?

March 7, 2024

Comply with No Surprises Act requirements and verify your information with BetterDoctor.

Reminders and Updates

New Search Function Launches on Premera Provider News Website

March 7, 2024

Find the articles you need easier than ever.

Reminders and Updates

New Payment Policy: Medically Unlikely Edits

March 7, 2024

Maximum daily units in claims editor explained.

Reminders and Updates

Flovent HFA Discontinued by GlaxoSmithKline

February 1, 2024

Premera is expanding its formulary to include generic Fluticasone HFA.

Reminders and Updates

New Drug and Biologic Edits

February 1, 2024

New drug and biologic edits will be implemented to support medical and pharmacy policies.

Reminders and Updates

New Video Helps Members Find a Doctor

February 1, 2024

Check out our new three-minute video and learn how to update your provider directory information.

Reminders and Updates

InstaMed Updates Needed for Individual Plan Network Providers

February 1, 2024

Follow these simple steps to ensure you receive InstaMed autopayments in 2024.

Reminders and Updates

RA Modifier Pricing Update

February 1, 2024

90-day notice of changes for claims including an RA modifier.

Reminders and Updates

Dexcom G6 and G7 Transmitter and Sensor Failures

December 7, 2023

Recent sensor failures are not detecting correct blood sugar levels.

Reminders and Updates

Preventive Benefit Updates for January 1, 2024

December 7, 2023

Changes are in store for preventive benefits in 2024.

Reminders and Updates

Upcoming 2024 Claims Editing Projects

December 7, 2023

Upcoming 2024 claims editing projects.

Reminders and Updates

Protect Your Patients’ Information

December 7, 2023

Prior authorization requests must be re-submitted if attachments for more than one member are included.

Individual Network Providers: Critical Steps for EFT Payments

Reminders and Updates

Submitting Appeals

New Breast Exam Benefit for High-Deductible Plan Members

WA Senate Bill 6228 Brings New Rules for 2025

Drug and Biologic Edits

What to Know About the New Law Ensuring Access to Emergency HIV Post Exposure Prevention

Postal Employees Added to Federal Employee Program Payer Starting January 1

Billing for Wasted and Administered Drugs

Adding a Description for Unlisted Procedure Codes

Reminder: Availity Essentials Claim Denial Messaging Enhancement Now Live

Reminder: FEP Paper Explanation of Payments Ending August 1

Air Ambulance Patient Transportation

Refer Patients to In-Network Providers

Annual Risk Adjustment Data Validation Audits

Preventive Service Updates Coming in July

FEP Paper Explanation of Payments Ending August 1

Durable Medical Equipment Modifiers and Units

Upcoming Durable Medical Equipment Edits

Correct Coding Edits Coming to Claims Editor

Provider Directory: Are You Verified?

New Search Function Launches on Premera Provider News Website

New Payment Policy: Medically Unlikely Edits

Flovent HFA Discontinued by GlaxoSmithKline

New Drug and Biologic Edits

New Video Helps Members Find a Doctor

InstaMed Updates Needed for Individual Plan Network Providers

RA Modifier Pricing Update

Dexcom G6 and G7 Transmitter and Sensor Failures

Preventive Benefit Updates for January 1, 2024

Upcoming 2024 Claims Editing Projects

Protect Your Patients’ Information

Individual Network Providers: Critical Steps for EFT Payments