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Premera Blue Cross is a not-for-profit Blue Cross Blue Shield licensed healthcare company that offers health plans in Washington state and Alaska.
In Washington, Premera Blue Cross and Regence BlueShield share responsibility for claims processing, customer service, and prior authorization requests based on where the patient receives the service and what kind of service was received.
ABOUT OUR PLANS directory to ensure youre referring MA patients to in-network providers. You dont need to submit a referral to Premera for services from in-network providers. Only referrals to out-of-network providers require submission to Premera for review. open enrollment.
Premera Blue Cross offers three Medicare Advantage HMO plans: HMO $0, Classic (HMO), Total Health (HMO).
If your provider believes your situation is urgent as defined under law and so notifies Premera, your appeal will be conducted on an expedited basis. Notification will be furnished to you as soon as possible, but not later than 72 hours after receipt of the expedited appeal.
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