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Premera Blue Cross of Washington

Part of Premera

Regional plandentalmedicalvision
Typical enrollment turnaround
60-90 days

Summary

Premera Blue Cross of Washington is a regional health plan, part of Premera, offering dental, medical, and vision coverage operating in Washington, Oregon, and Alaska. Claims route under payer ID 00430, with 24 alternate IDs in use across clearinghouses. Provider enrollment typically takes 60-90 days, with applications through Premera Certify Portal, and CAQH is used for credentialing data. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, dental claims, and electronic remittance (ERA); ERA enrollment is required and takes a few days.

At a glance

Payer ID
00430Also seen as 00430D, 00430H, 100062, 10326, 10650, 10651 and 18 more
Also known as
LifeWise Health Plan of Washington, North Star Administrators, Other Blue Plans Premera BlueExchange (Shared Administration), Premera Blue Cross (Washington), Premera Blue Cross Blue Shield Alaska and Washington
Uses CAQH
YesApplication route: Payer portal application
Service area
WA, OR, AK

Clearinghouse transaction setup

Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.

TransactionEnrollmentTypical setup
Eligibility checks (270/271)Not requiredImmediate
Claim status (276/277)Not requiredImmediate
Professional claims (837P)Not requiredImmediate
Institutional claims (837I)Not requiredImmediate
Dental claims (837D)Not requiredImmediate
ERA / remittance (835)RequiredA few days

Common questions

What is the payer ID for Premera Blue Cross of Washington?
The payer ID for Premera Blue Cross of Washington is 00430. Alternate IDs seen across clearinghouses include 00430D, 00430H, 100062, 10326.
How long does Premera Blue Cross of Washington provider enrollment take?
Premera Blue Cross of Washington provider enrollment typically takes 60-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.
Does Premera Blue Cross of Washington require CAQH?
Yes. Premera Blue Cross of Washington uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.
Does Premera Blue Cross of Washington require ERA enrollment?
Yes. Premera Blue Cross of Washington requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few days.
What states does Premera Blue Cross of Washington cover?
Premera Blue Cross of Washington operates in WA, OR, AK. Coverage can differ by plan and product line, so confirm the specific plan before you file.

Compiled from public payer resources and clearinghouse catalogs. Details change often, so confirm with the payer before relying on them. Spot something out of date? Tell us and we will fix it.