Premera Hospital Billing FAQs

Premera works with CERIS and Carewise Health (CWH) to check hospital bills (claims) for accuracy. You can find two new FAQs in the Premera payer space in Availity to learn about these billing checks.

Pre-Payment Reviews (CERIS)

• Checks inpatient and outpatient hospital bills over $50,000.
• Looks for mistakes, double charges, and items that shouldn’t be billed.
• Requires flagged claims to include a detailed list before they can be processed.
• Disagree? Call Premera at (844) 868-0058 or email customerservice@ceris.com.

Post-Payment Reviews (CWH)

• Audits paid hospital bills for coding and contract compliance.
• Gives providers 30 days to submit requested documentation.
• Disagree? Contact CWH at (502) 326-4526 with questions.

What You Should Do

• Respond to requests from CERIS and CWH to avoid delays and denials.
• Follow all steps and deadlines for appeals.
• Contact your Premera provider representative for more support.