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Premera Blue Cross

BCBS

Also covers: Premera, Premera BCBS of Alaska

Payer ID

00430

00430 = Professional and Institutional (direct submitters); Dental = 47570. Same IDs serve WA and AK Premera.

Timely Filing Limit (TFL)

Ideally within 60 calendar days of services, but no later than 365 calendar days from DOS

Appeal Window

Claims appeals/disputes per the Premera provider medical manual

Clearinghouse

Availity Essentials; direct EDI payer ID 00430

Provider Services

877-342-5258

Claims Fax

425-918-4234

Claims Address

Premera Blue Cross, PO Box 91059, Seattle, WA 98111-9159

Provider Portal

https://www.premera.com/wa/provider

Verify the correct PO box for your line of business (WA vs AK vs FEP).

Values vary by plan, region, and contract and can change. Confirm in the payer portal or with your clearinghouse before filing.

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