Learning Center

Quick Training Videos: Tips for Working with Premera

Our new provider training video series gives you easy access to quick videos (only 5 minutes or less!) for tips on Availity tools and other important Premera provider information.

Availity Tools:

Medical fee schedule: Save time and find your commercial fee schedule online.

Claim corrections: Correct online claims in pending or final status

Enhanced claim status: See all claim status options and know if action is needed.

Claim attachments: Get the details for adding claim attachments.

Claim denial reasons: Easier to understand explanations save you time.

Deluxe remittance viewer: View all claims related to your explanation of payment (EOP).

Dental fee schedule: Use the Premera Dental payer to view fee schedule rates.

Second pass edits: Learn about improved claim explanations and related policy details.

Add Washington state as a new region: Learn how to add Washington state so you can see complete benefits for members.

BlueCard and Shared Administration eligibility and benefits: Learn how to check eligibility and benefits for BlueCard members and Shared Administration groups.

Electronic funds transfer (EFT): Learn how to sign up for EFT.

Availity overview tips and resources: Watch a general overview for using Availity secure tools.

C3 Claims Editor tool tutorial video: Learn about the new C3 Claims Editor tool. You'll find the tool under the Resources tab in the Premera payer space in Availity.

General Information:

Update your information: Learn how to make sure your provider information is up-to-date with Premera.

Provider information tutorial video: Get instructions about maintaining your demographic information.

Premera uses Availity for secure provider portal
Premera uses Availity as its primary secure portal. Sign in to Availity or register and get training. View our Availity provider FAQ for more details.

Availity is an independent provider of health information network services that does not provide Blue Cross Blue Shield products or services. Availity is solely responsible for its products and services.

Coding resources - Payment integrity information and payment policies, claim editors, coding and billing guidelines.

Quality tip sheets, user guides - Training guides, tip sheets for coding and documentation. 

Coding major depressive disorder: Accurately code and document major depressive disorder. Divided into four short sections, this training is part of a condition-focused series.

Coding respiratory: Learn how to accurately document and assign diagnosis codes for patients with multiple respiratory diseases.

Coding diabetes: Documenting and accurately coding diabetes can be challenging. Learn how to prevent common coding errors.

Coding cancer: Use these tips to avoid errors when coding and documenting cancer.

Increasing equitable access to quality, affordable healthcare tailored to fit a community's needs.

At Premera, our purpose is to improve customers' lives by making healthcare work better. That means we need to recognize the areas where healthcare falls short. Many long-standing health inequities exist because of poverty, systemic racism, and discrimination. The result is unfair, unjust, and can have a negative impact on health.

Health equity goals

• Thinking outside of traditional healthcare responses will help address real-life, common challenges that prevent people from accessing the care they deserve
• Solutions that improve the health for our populations will benefit other historically marginalized groups
• A fair healthcare system can and should improve health outcomes and quality of care and contribute to the elimination of racial and ethnic health disparities

Continuing medical education

There are many resources available to build knowledge in health equity that provide tools for you to best connect with your patients and community.

• American Medical Association (AMA): Addressing Social Determinants of Health
• AMA: Center for Health Equity - Multiple HE courses to help physicians, health providers and health systems address root causes of inequities such as racism, white supremacy, and other structural determinants of health
• AMA: Howard Brown Health - Multiple HE courses related to the lesbian, gay, bisexual, transgender, queer, intersex, asexual and allies (LGBTQIA+) community
• AMA: The Fenway Institute - Multiple HE courses related to the LGBTQIA+ community
• U.S Department of Health & Human Services - A Physician's Practical Guide to Culturally Competent Care
• Association of American Medical Colleges (AAMC) – Unconscious Bias Resources for Health Professionals - The AAMC provides resources and trainings to assist institutions with achieving organizational goals around addressing unconscious biases.

More health equity resources

Access resources to build knowledge in health equity that provide tools for you to best connect with your patients and community.

• American Academy of Family Physicians: The EveryONE Project
• Premera Social Impact Report
• Blue Cross Blue Shield National Health Equity Strategy

Watch previous Premera workshops
Shared Admin and BlueCard, July 13, 2022
Premera and Healthcare in 2022, January 19, 2022
Claims Editing, September 15, 2021
No Surprises Act, July 21, 2021

Questions?
We're here to help. Just email us at ProviderExperience@premera.com.

AVAILITY

Availity Tips and Resources guide

C3 Claims Editor guide

UPDATING PROVIDER INFO

Provider Information guide: Find resources to keep your data current.

PCP roster guide: Learn how to download a roster of our members who've selected a PCP in your office.

ID CARDS

ID card guide: View sample ID cards, learn about plans, new networks, copays. 

INDIVIDUAL PLANS

Individual Plan Training overview: From policies and ID cards to online tools and forms, find out everything you need to know about our Individual Plans.

Individual Plan Eligibility and benefits: Learn how to look up eligibility and benefits for Individual Plan patients on the new secure site.

Individual Plan Claims submission and status: Learn how to look up a claim status and get a claims list for Individual plan patients.

Individual Plan Prior authorizations (Identifi): A step-by-step guide on how to use Identifi, the new prior authorization request submission tool for our Individual health plans.

Individual Plan PCP roster: See how to download a roster of our Individual plan members who've selected a PCP in your office.

Individual Plan Log-in Affiliations: Learn how to access another tax ID associated with your portal account.

TELEHEALTH

Telehealth Claim Submission Guide: Get the details on telehealth services and how to submit claims.