What is predetermination? Use a dental pre-determination to verify a member’s benefits before services are started so financial arrangements can be made for reduced or uncovered services. Digital x-rays must be faxed to us at 42 or submitted to National Electronic Attachments (NEA) or Change Healthcare (CHC). We can’t accept emails from outside Premera with attachments. Seattle, WA 98111-9159 Quick answers to common questionsĬan I email x-rays? No. *These payer IDs work for all Premera plans, including Medicare Advantage, FEP, BlueCard, and NASCO. Use a different payer ID than those listed here. If you're using aĬlearinghouse, be sure to verify all payer IDs as they might request that you Member ID cards are identified as Medicare Advantage.Ĭlaim payer IDs are used to make sure your electronic transaction is routed to the right health plan. Medicare Advantage plans: The Medicare Advantage dental website is managed by Dominion National and uses different tools for patients with Medicare Advantage plans.If a member has an individual plan, their ID card will say Individual Plan. Individual plans: The individual plan website is managed by Evolent Health for Premera and uses tools specifically for patients with individual.Dental documentation guidelines: Check out the most recent codes and dental terminology.Dental reference manual: Get info on x-rays, anesthesia, and billing, plus a dental FAQ.Sign in to Availity to use secure online tools (select Premera Dental as a payer).To your clinic, fax us a provider update form. If you need to change your office information or add a provider For all providers who need to get credentialed or recredentialed with Premera, learn how to join our network.
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