November 19, 2020
On November 11, the Premera provider experience team hosted a workshop focused on medical, vision, and dental member eligibility and benefit information.
Here are some highlights:
- For faster service and no hold times, we’re strongly encouraging providers to self-serve for eligibility and benefit information. The eligibility and benefit tool is available through our online secure portal.
- Our tool defaults to the date you’re verifying eligibility and benefits.
- Benefit details defaults to General Medical Plan. To narrow your benefit search, select a specific benefit type from the drop-down menu.
- The member’s plan network displays under plan details. This information is critical to determine whether your organization is an in-network or out-of-network provider for a member. Your Premera contract includes the networks you participate in.
- For most our member plans, in-network benefits display as the default.
- The new Dental Resources page includes links and answers to common questions.
- If you missed the workshop, you can watch it here!
We’re always working on future enhancements to our online provider tools. If you have additional questions or feedback, contact providerexperience@premera.com.