Online Tools and Resources
Published November 18, 2021
We know that tracking patient information using countless secure websites for multiple health plans can be a daily challenge for provider offices. As of November 18, we have a single-source solution for all our providers through Availity, a new secure
provider portal you’re likely already familiar with.
What is Availity?
Availity
is a nationwide, multi-payer secure portal that helps providers and health
plans share information efficiently. Providers benefit by having a single
source of tools for multiple health plans, removing the guess work of learning a wide range of
health plan platforms.
Why We Chose Availity
In
addition to offering a better online experience with our local Washington and
Alaska providers, Availity can help us increase valuable interactions with
out-of-area providers who care for our national account members.
Launch Timeline
In October, we started with a soft launch of Premera plans on the Availity platform to five provider partners. Our next launch began on November 18 with all Washington and Alaska medical and dental providers who are currently Availity users. Providers
have access to the following through Availity:
| Availity Tool |
Description |
| Eligibility and Benefits |
New member search feature allows you to search using only a member’s plan ID number. Results will include all members associated with that member ID. If you don’t have a member’s ID, you can search by the member’s first name, last
name, and DOB.
View tooth history information from the Services History button of the eligibility and benefits results when you select Premera Dental as a payer.
|
| Claim Submission |
Claim submission for medical, dental, and facility. Express Entry makes adding provider information fast and error-free. Note: You don’t need to use Availity as a clearinghouse to use this feature.
|
| Claim Status |
View the status for a medical, dental, and/or facility claim. Color-coded patient cards show you the status of a patient’s claim. You can search by claim number and or all claims within a specific date range.
|
| Remittance Viewer |
Premera and FEP EOPs are available from the Check/EFT tab. Select the EOP/EOB icon under the Actions menu to download a PDF. Note: Use “Other Blue Plans” as a payer to view FEP check information.
|
Premera Provider Websites Remain
Transitioning our provider tools to Availity is happening in phases. Providers will still need to use Premera’s secure provider portal for some transactions not yet available on Availity, such as prior authorization, claims editor, and payment policies.
Links to access those tools, as well as all resources on Premera’s existing secure and public provider websites, are available on Availity’s payer space landing pages for a seamless online experience.
Once all our secure tools are transitioned to Availity, Premera’s secure provider portal will be retired.
For More Information
If you’re not yet registered with Availity, find out how to sign up, get training, and more.