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Claim payer IDs are used to make sure your electronic transaction is routed to the right health plan. If you're using a clearinghouse, be sure to verify all payer IDs as they might request that you use a different payer ID than those listed here.
A clearinghouse acts as a go-between for the provider and the payer health plan. Using a clearinghouse means you can reach multiple payers through a single vendor. This option is typically used by large facilities, large provider groups and billing services. Please email us for more information. Using a clearinghouse You can submit electronic claims to Premera EDI using the clearinghouse of your choice or the choice of your software vendor if the clearinghouse is enrolled with us.
Please check with your clearinghouse or software vendor on how to submit an electronic claim to Premera EDI. Small offices or individual providers who don't want to accrue fees from a clearinghouse are encouraged to use Office Ally free of charge when submitting to Premera EDI. Please email us for Office Ally pre-enrollment information or visit www. How will I know if my electronic claim was accepted or rejected?
Check with your clearinghouse about receiving reports. If you are a dual-licensed provider, please ensure the appropriate taxonomy code is submitted on your claim.
If you have questions or need to update your provider record to include your taxonomy code s , please contact NPPES at We accept electronic claims for out-of-state Blue plans through the BlueCard Program. You can submit your BlueCard claims with your regular transmission files to us, using the same payer ID, and we'll coordinate with the member's home plan. Be sure to include the three-character plan prefix when submitting BlueCard claims.
View BlueCard plan prefix list login required. For more information, call our BlueCard team at Electronic Remittance Enrollment Premera electronic remittance is available for all local providers regardless of contract status.
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