Tools and information
Plan prefix list
Use this list of common Blue Plan prefixes to find out where to submit your claims.
Medical policy & pre-authorization for out-of-area members
View medical policies, check pre-certification and pre-authorization requirements, and submit pre-service reviews for out-of-area Blue Plan members.
Medical policy & pre-service review
BlueCard eligibility, benefits, claims, and payment
For eligibility and benefits, claims, and payment, sign in to Availity and select Other Blue Plans Premera BlueExchange (FEP, Shared Admin) as a payer. You'll need the member's plan prefix, ID number, first/last name, and date of birth. Call 888-261-9562 from 6 a.m. to 5 p.m. to reach the Premera BlueCard claims customer service team.
Are you a provider outside of Washington or Alaska? View information
for out-of-area providers.
Claims for out-of-state Medicaid members:
Blue Cross and Blue Shield (BCBS) Plans currently administer Medicaid programs in several states. Because Medicaid is a state-run program, requirements vary by state and BCBS plan. Medicaid members
have limited out-of-state benefits, generally covering only emergent situations. If you're seeing an out-of-state Medicaid member, view the following two documents for more information:
Reference manuals
BlueCard Program Provider Manual
The BlueCard® Program Provider Manual gives you detailed BlueCard program information and shows you how to:
- Identify members
- Verify eligibility
- Obtain pre-certifications/pre-authorizations
- File claims
- Find contact information
Premera Reference Manual: BlueCard and Shared Administration
The Premera Reference Manual provides highlights of the BlueCard process for providers in contiguous counties in Oregon and Idaho and the Shared Administration program. View the Shared Administration contact list for group names, prefixes, and contact information.