Premera Blue Cross of Washington
Premera Blue Cross of Washington is a Blue Cross Blue Shield-affiliated health plan operating in Washington. For an ASC, what matters isn't the logo. It's how Premera Blue Cross of Washington pays: where it runs rich, where it runs thin, and how its reimbursement compares with peer plans for the same procedures.
Pilot Analysis
Get the complete Premera Blue Cross of Washington analysis
Tell us where to send it. Our team will prepare an analysis of Premera Blue Cross of Washington covering rates by code, market position, and underpaid areas, and email it to you within 5-10 business days. Need it faster? Book a demo.
What Insights reveals
How Premera Blue Cross of Washington pays
See how Premera Blue Cross of Washington reimburses across procedures and markets, benchmarked against the peer plans competing for the same cases. Not a raw rate sheet, a read on where it sits.
Geographic footprint
Premera Blue Cross of Washington's presence spans Washington. See where it concentrates and how that shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for Premera Blue Cross of Washington and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive Premera Blue Cross of Washington's volume, so you know where a rate change moves the needle.
Whether you're an ASC benchmarking a contract or a provider team looking Premera Blue Cross of Washington up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with Premera Blue Cross of Washington
- Payer ID
- 00430 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Premera Blue Cross of Washington through a clearinghouse.
- Eligibility verification
- Coverage and benefits for Premera Blue Cross of Washington members are verified before the date of service, through a clearinghouse using payer ID 00430or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with Premera Blue Cross of Washington directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of Premera Blue Cross of Washington the way it pays.
- What is Premera Blue Cross of Washington's payer ID?
- Premera Blue Cross of Washington's electronic payer ID is 00430. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Premera Blue Cross of Washington through a clearinghouse.
- How do ASCs verify eligibility for Premera Blue Cross of Washington members?
- Eligibility and benefits for Premera Blue Cross of Washington members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 00430) or through the payer's provider portal.
- Does Premera Blue Cross of Washington require prior authorization for ASC procedures?
- Prior-authorization requirements for Premera Blue Cross of Washington are set per plan and per procedure. Confirm whether an authorization is required with Premera Blue Cross of Washington directly before the date of service.
- What type of payer is Premera Blue Cross of Washington?
- Premera Blue Cross of Washington is a Blue Cross Blue Shield-affiliated health plan operating in Washington.
- How does Premera Blue Cross of Washington compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where Premera Blue Cross of Washington pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is Premera Blue Cross of Washington paying my ASC below market?
- Put your own Premera Blue Cross of Washington contract next to the peer benchmark in DataLily AI and you'll see the gap by procedure and market, the fastest way to know whether you're leaving money on the table.