Reminders and Updates Archives - Premera Providers (AK)

Reminders and Updates

Drug Site-of-Service Program Updates

July 3, 2025

Additional drugs will require prior authorization under the drug site-of-service medical policy.

Reminders and Updates

Reminder: Genetic Testing Requires Prior Authorization

June 5, 2025

Confirm requirements before sending samples to the lab.

Reminders and Updates

New Alaska Licensure for Associate Counselors Begins July 1

June 5, 2025

Effective July 1, 2025, Alaska will allow licensing of Associate Counselors, but licensing information from the state is still to come.

Reminders and Updates

Members Receive In-Home Test Kits

June 5, 2025

Eligible members receive opt-in invitations for at-home test kits

Reminders and Updates

Free Continuing Medical Education Course: Lifestyle Medicine and Food as Medicine Essentials

May 1, 2025

Learn the essentials of lifestyle medicine for your practice.

Reminders and Updates

How to Submit a Corrected Claim

March 6, 2025

Follow these steps to avoid a processing delay.

Reminders and Updates

Automatic Approvals for Individual Plans in Ambulatory Surgery Centers

February 6, 2025

Prior authorizations submitted for 8 specific procedures in ambulatory surgery centers will be automatically approved.

Reminders and Updates

Ambulatory Surgery Center Fee Schedule Maintenance

February 6, 2025

New ambulatory surgery center codes for 2025.

Reminders and Updates

Wintertime Reminder: Vitamin D Testing

February 6, 2025

Check before you test to make sure vitamin D screenings are medically necessary.

Reminders and Updates

Medical Records Requests for 2025

February 6, 2025

Here’s when you can expect them for 2025.

Reminders and Updates

Submitting Appeals

January 6, 2025

Sending one appeal per patient helps us process your appeals faster.

Reminders and Updates

New Breast Exam Benefit

January 6, 2025

State mandate removes cost sharing for supplemental or diagnostic breast examinations.

Reminders and Updates

Drug and Biologic Edits

December 5, 2024

Additional information regarding new drug and biologic edits.

Reminders and Updates

Adding a Description for Unlisted Procedure Codes

October 3, 2024

Include a description of the service rendered when billing an unlisted procedure code.

Reminders and Updates

Billing for Wasted and Administered Drugs

October 3, 2024

Drug waste will be reimbursed when billed with correct modifiers.

Reminders and Updates

Reminder: Availity Essentials Claim Denial Messaging Enhancement Now Live

09/05/2024

Reminders and Updates

Reminder: FEP Paper Explanation of Payments Ending August 1

8/1/2024

Reminders and Updates

Air Ambulance Patient Transportation

07/08/2024

When is it appropriate for your patient?

Reminders and Updates

Refer Patients to In-Network Providers

07/08/2024

Help reduce your patients’ out-of-pocket costs.

Reminders and Updates

Preventive Service Updates Coming in July

June 6, 2024

Mark your calendar for benefit changes effective July 1.

Reminders and Updates

Durable Medical Equipment Modifiers and Units

May 2, 2024

Make sure to append the correct modifier and number of units.

Reminders and Updates

FEP Paper Explanation of Payments Ending August 1

May 2, 2024

Paper FEP explanation of payments ending August 1 for those using electronic funds transfer.

Reminders and Updates

Upcoming Durable Medical Equipment Edits

Durable medical equipment edits are coming to the claims editor.

Reminders and Updates

Correct Coding Edits Coming to Claims Editor

April 4, 2024

Correct coding of diagnosis codes, procedure codes, and place of service codes to be implemented.

Reminders and Updates

Provider Directory: Are You Verified?

March 7, 2024

Comply with No Surprises Act requirements and verify your information with BetterDoctor.

Reminders and Updates

New Search Function Launches on Premera Provider News Website

March 7, 2024

Find the articles you need easier than ever.

Reminders and Updates

New Payment Policy: Medically Unlikely Edits

March 7, 2024

Maximum daily units in claims editor explained.

Reminders and Updates

Flovent HFA Discontinued by GlaxoSmithKline

February 1, 2024

Premera is expanding its formulary to include generic Fluticasone HFA.

Reminders and Updates

InstaMed Updates Needed for Individual Plan Network Providers

February 1, 2024

Follow these simple steps to ensure you receive InstaMed autopayments in 2024.

Reminders and Updates

New Drug and Biologic Edits

February 1, 2024

New drug and biologic edits will be implemented to support medical and pharmacy policies.

Reminders and Updates

RA Modifier Pricing Update

February 1, 2024

90-day notice of changes for claims including an RA modifier.

Reminders and Updates

Dexcom G6 and G7 Transmitter and Sensor Failures

December 7, 2023

Recent sensor failures are not detecting correct blood sugar levels.

Reminders and Updates

Preventive Benefit Updates for January 1, 2024

December 7, 2023

Changes are in store for preventive benefits in 2024.

Reminders and Updates

Upcoming 2024 Claims Editing Projects

December 7, 2023

Upcoming 2024 claims editing projects.

Reminders and Updates

Protect Your Patients’ Information

December 7, 2023

Prior authorization requests must be re-submitted if attachments for more than one member are included.

Individual Network Providers: Critical Steps for EFT Payments

Reminders and Updates

Request a Call with a Premera Medical Director

Drug Site-of-Service Program Updates

Reminder: Genetic Testing Requires Prior Authorization

New Alaska Licensure for Associate Counselors Begins July 1

Members Receive In-Home Test Kits

Free Continuing Medical Education Course: Lifestyle Medicine and Food as Medicine Essentials

How to Submit a Corrected Claim

Automatic Approvals for Individual Plans in Ambulatory Surgery Centers

Ambulatory Surgery Center Fee Schedule Maintenance

Wintertime Reminder: Vitamin D Testing

Medical Records Requests for 2025

Submitting Appeals

New Breast Exam Benefit

Drug and Biologic Edits

Adding a Description for Unlisted Procedure Codes

Billing for Wasted and Administered Drugs

Reminder: Availity Essentials Claim Denial Messaging Enhancement Now Live

Reminder: FEP Paper Explanation of Payments Ending August 1

Air Ambulance Patient Transportation

Refer Patients to In-Network Providers

Preventive Service Updates Coming in July

Durable Medical Equipment Modifiers and Units

FEP Paper Explanation of Payments Ending August 1

Upcoming Durable Medical Equipment Edits

Correct Coding Edits Coming to Claims Editor

Provider Directory: Are You Verified?

New Search Function Launches on Premera Provider News Website

New Payment Policy: Medically Unlikely Edits

Flovent HFA Discontinued by GlaxoSmithKline

InstaMed Updates Needed for Individual Plan Network Providers

New Drug and Biologic Edits

RA Modifier Pricing Update

Dexcom G6 and G7 Transmitter and Sensor Failures

Preventive Benefit Updates for January 1, 2024

Upcoming 2024 Claims Editing Projects

Protect Your Patients’ Information

Individual Network Providers: Critical Steps for EFT Payments