Premera Blue Cross at a glance
| Legal name | Premera Blue Cross |
|---|---|
| Also known as | Premera, Premera BC WA/AK |
| Category | BCBS affiliate |
| Parent organization | Blue Cross Blue Shield Association (independent licensee) |
| Claims payer ID | 00430 — registry reference; verify the member product, transaction and clearinghouse |
| Eligibility (270/271) payer ID | 00430 — registry reference; verify the member product, transaction and clearinghouse |
| ERA (835) payer ID | 00430 — registry reference; verify the member product, transaction and clearinghouse |
| NAIC company code | Not established in this registry |
| States covered | Washington, Alaska |
| Members covered | ~2.4 million members |
| Provider resource entry point | https://www.premera.com/wa/provider/ |
| Provider phone | 1-877-342-5258Option 1; identify product before using general Washington provider route |
Always verify claims-routing details against the member ID card and the payer's current EDI companion guide before submission.
Timely filing & appeals for Premera Blue Cross
The reviewed Washington provider manual gives 365 calendar days from service and notes that most plans use 12 months. Controlling contracts and governing law prevail. Verify the specific product, state, agreement and submission type rather than treating the reference as one universal Premera rule.
| Submission type | Window |
|---|---|
| Initial claim reference | Washington: 365 calendar days; agreement and law control |
| Out-of-network initial claim | Verify the member's plan and applicable out-of-network rules |
| Secondary / coordination of benefits | Verify the allowed window and start event; a primary EOB does not automatically restart filing |
| Corrected claim | Verify correction instructions; do not substitute an appeal deadline |
| Reconsideration / appeal | Use the applicable denial or decision notice and the process below |
This registry has not established a payer-specific appeal ladder for Premera Blue Cross. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
Source: Premera Blue Cross provider policy. Always confirm before disputing a TFL denial — payer policies are versioned and product-specific.
Prior authorization with Premera Blue Cross
Decision deadlines depend on the product, service and urgency. CMS-0057-F generally starts its decision-timeframe requirements in 2026 for Medicare Advantage, Medicaid and CHIP payers subject to the rule: seven calendar days for standard requests and 72 hours for expedited requests. Those requirements exclude drug authorizations and QHP issuers on the federally facilitated exchanges. Other plans, state rules and permitted extensions can differ. Check the applicable policy; a decision deadline is not a guarantee of approval.
CMS-0057-F decision-timeframe requirements and exclusions
Verify Premera Blue Cross electronic claims (837), eligibility (270/271), remittance (835) and authorization (278) separately for the member product and clearinghouse. Registry flags and routing references are not current transaction-complete approval. Confirm the companion guide, enrollment and applicable source findings below. A blank or unverified field does not establish that the transaction is unavailable. Authorization requirements and submission channels depend on the product, service and delegated reviewer. Verify the applicable policy before scheduling; a portal listing is not proof of X12 278 connectivity.
This registry does not provide a current prior-authorization code list for Premera Blue Cross. Start with the provider resources or the policy documents below, then confirm the applicable product, service and effective date. A resource link does not establish that a live code-lookup tool is available.
Top denial reasons for Premera Blue Cross
Per-payer denial benchmarks publish here once the QuickIntell anonymized ETL pipeline ingests sufficient Premera Blue Cross volume. Until then, see the broader CARC reference for industry-wide remediation guides.
Electronic claims, eligibility & ERA
| Transaction | Registry indication — not verification | Routing reference |
|---|---|---|
| 837P / 837I claims | Listed in registry; verify current scope | 00430 — registry reference; verify the member product, transaction and clearinghouse |
| 270 / 271 eligibility | Listed in registry; verify current scope | 00430 — registry reference; verify the member product, transaction and clearinghouse |
| 278 prior authorization | Listed in registry; verify current scope | Verify X12 278 routing separately |
| 835 ERA | Verify support and enrollment separately | 00430 — registry reference; verify the member product, transaction and clearinghouse |
Payer IDs vary by clearinghouse — confirm against your clearinghouse payer list (Availity, Change Healthcare/Optum, Waystar) before configuring submitter routing.
Source checks and remaining limits
The latest partial comparison is dated . Retained earlier findings keep their original dates below. This is a partial source check, not a whole-page, clinical or legal review. It does not refresh the legacy review date above.
provider_phone
Source comparison: 2026-09-26
Customer service is 877-342-5258 option 1; the contact page gives separate BlueCard and HMO routes.
Primary source for provider_phoneportal_url
Source comparison: 2026-09-26
Contact page directs eligibility, claims status and payment information through Availity; current public provider entry remains useful.
Primary source for portal_urltimely_filing_days
Source comparison: 2026-09-26
The Washington manual gives 365 calendar days from service, while noting most plans use 12 months and that controlling contracts and governing law prevail. Do not recast this as a uniform rule for every product or state.
Primary source for timely_filing_days
Not checked in this pass: Whole-record approval, legal identity, ownership and complete product coverage; Authenticated transactions and QuickIntell integrations; payer_ids.claims: No universal medical claims identifier established; preserve clearinghouse and product verification.; payer_ids.eligibility / payer_ids.era / era_payer_id: No transaction-specific universal eligibility/ERA identifier established; do not copy a claims ID.; electronic_claims_supported / supports_279_271 / supports_278: No blanket transaction-capability or QuickIntell connectivity certification; unauthenticated resources do not establish all stored flags.; appeal_levels / prior_auth_required_codes_sample / qi_module_coverage: No new approval of appeals, code-specific authorization or product integrations in this bounded pass..
Sources used for this guide
State coverage
Premera Blue Cross operates in the following states. Each link opens state-level Medicaid program details, dominant commercial payers, and state-specific RCM regulations.
Evaluate QuickIntell workflow fit for Premera Blue Cross
These module references are evaluation starting points, not evidence of a validated connection, supported transaction or customer deployment. Confirm the actual member plan, data access and product scope first.
- QuickRCM
Evaluate claim preparation, follow-up and denial worklists for Premera Blue Cross; verify the actual plan rules and available connections before implementation.
- QuickAuth
Assess authorization-packet and status workflows for Premera Blue Cross; confirm product, service, delegated reviewer and permitted submission channels.
- QuickERA
Verify the actual 835 files, posting exceptions and reconciliation requirements for Premera Blue Cross before evaluating automation. An ERA identifier alone does not establish supported ingestion or posting.
Frequently asked questions about Premera Blue Cross
Where is the Premera Blue Cross provider portal?
Use https://www.premera.com/wa/provider/ as a starting point for Premera Blue Cross provider resources. This link may open a directory or contact page rather than a transaction portal. Select the applicable product and administrator, then verify the available functions, enrollment and access requirements. QuickIntell is not the official payer portal.
What is the timely filing limit for Premera Blue Cross?
The reviewed Washington provider manual gives 365 calendar days from service and notes that most plans use 12 months. Controlling contracts and governing law prevail. Verify the specific product, state, agreement and submission type rather than treating the reference as one universal Premera rule.
What is the Premera Blue Cross payer ID?
Claims: 00430 — registry reference; verify the member product, transaction and clearinghouse. Eligibility (270/271): 00430 — registry reference; verify the member product, transaction and clearinghouse. ERA (835): 00430 — registry reference; verify the member product, transaction and clearinghouse. Do not substitute a claims ID for an unverified transaction ID. Check current source findings and the member ID card before submitting.
Does Premera Blue Cross accept electronic claims?
Verify Premera Blue Cross electronic claims (837), eligibility (270/271), remittance (835) and authorization (278) separately for the member product and clearinghouse. Registry flags and routing references are not current transaction-complete approval. Confirm the companion guide, enrollment and applicable source findings below. A blank or unverified field does not establish that the transaction is unavailable.
How do I appeal a Premera Blue Cross denial?
This registry has not established a payer-specific appeal ladder for Premera Blue Cross. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
How long do Premera Blue Cross prior authorization approvals take?
Decision deadlines depend on the product, service and urgency. CMS-0057-F generally starts its decision-timeframe requirements in 2026 for Medicare Advantage, Medicaid and CHIP payers subject to the rule: seven calendar days for standard requests and 72 hours for expedited requests. Those requirements exclude drug authorizations and QHP issuers on the federally facilitated exchanges. Other plans, state rules and permitted extensions can differ. Check the applicable policy; a decision deadline is not a guarantee of approval.
What is the Premera Blue Cross provider phone number?
This registry lists 1-877-342-5258 as a contact reference for Premera Blue Cross. Option 1; identify product before using general Washington provider route
Automate workflows around Premera Blue Cross requirements
Connect eligibility, prior authorization, pre-submission claim checks, and remittance routing in one governed workflow. Payer and plan configuration is confirmed during implementation.
Disclaimer
This page is operational reference for medical-billing professionals. It is not legal, clinical, or contractual advice. Payer policies change without notice — always verify against Premera Blue Cross's current published documents before submission. CPT® is a registered trademark of the American Medical Association.