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Premera Blue Cross of Washington

Premera Blue Cross WA

Premera Blue Cross of Washington logo

Provider portalapps.availity.com ↗

Primary payer ID
Compare transaction IDs ↓
Last successful claim statusWithin the past 48 hoursObserved across Substrate's claim-status network.
SupportedEDI 276/277EDI 270/271Availity ECS

Coverage profile

Work Premera Blue Cross of Washington across every published route

Use the current payer record to choose the right claim-status, eligibility, portal, phone, or appeals workflow. Substrate only marks routes that are published for this payer.

Claim status

EDI 276/277

The Substrate Claim Status Agent can check clearinghouse claim status for your practice with Premera Blue Cross of Washington.

Available

Eligibility

EDI 270/271

The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Premera Blue Cross of Washington.

Available

Enhanced claim status

Availity ECS
Available

Portal claim status

Browser automation

The Substrate Claim Status Agent can check claim status via the payer portal for Premera Blue Cross of Washington.

Available

Other aliases

Also known as

  • 00430
  • 00430D
  • 00430H
  • 100062
  • 10326
  • 10650
  • 10651
  • 12B27
  • 2581
  • 2854
  • 3572
  • 430
  • 47570
  • 5522
  • 7445
  • 93093
  • BCWAC
  • FMDJA
  • HTUZG
  • LMRYC
  • PMWA1
  • PREMA
  • SB930
  • SB930MA
  • TLY47
  • WABLC
  • WAPBCS
  • LifeWise Health Plan of Washington
  • North Star Administrators
  • Other Blue Plans Premera BlueExchange (Shared Administration)

Payer intelligence

Observed adjudication timing

How long completed claims in Substrate’s aggregate network took from payer receipt to the 835 payment date.

Median time to payment

12 days
10% of adjudications by
7 days
90% of adjudications by
16 days
Applicable state coverage
WA
Current As Of
July 2026

Five-month median trend

Days to 835 payment
Premera Blue Cross of Washington median observed adjudication timingMonthly median days from payer receipt to 835 payment from April 2026 through August 2026. Missing qualified months are shown as gaps.07.515AprMayJunJulAug
View chart data as a table
Premera Blue Cross of Washington observed adjudication timing by service month
Service monthMedian10% of adjudications by90% of adjudications byCompleted claimsCoverage
Apr15 days9 days19 days394WA
May13 days7 days19 days522WA
Jun13 days8 days18 days472WA
Jul12 days7 days16 days261WA
AugNo qualified data

2027 maternity billing research

When does Premera Blue Cross of Washington change OB/GYN billing?

Confirmed 2027 guidance

Premera’s cross-year tip sheet establishes staged antepartum cohorts beginning 2026-05-15 and itemized maternity coding beginning 2027-01-01.

Transition start
2026-05-15
Billing start
2027-01-01
Published
2026-07-27
Current As Of
September 2026

Scope: Premera Blue Cross of Washington provider notice and tip sheet. The visible notice does not expressly assign the rule to a particular line of business.

CPT Maternity Coding Changes Tip Sheet. Verify the payer source before claim submission.

Frequently asked questions

Premera Blue Cross of Washington payer FAQs

How do I check claim status with Premera Blue Cross of Washington?

Providers check Premera Blue Cross of Washington via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.

What is the payer ID for Premera Blue Cross of Washington?

The primary payer ID for Premera Blue Cross of Washington is 00430. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.

What is the provider portal for Premera Blue Cross of Washington?

The provider portal for Premera Blue Cross of Washington is https://apps.availity.com/. Available features depend on the payer and your account.

What are the 837 payer IDs for Premera Blue Cross of Washington?

The 837P and 837I payer ID for Premera Blue Cross of Washington is 00430 via Stedi.

What is the 835 payer ID for Premera Blue Cross of Washington?

The 835 payer ID for Premera Blue Cross of Washington is 00430 via Stedi.

What is the 270 payer ID for Premera Blue Cross of Washington?

The 270 payer IDs for Premera Blue Cross of Washington are 00430 via Stedi and 00430 via Availity.

What is the 276 payer ID for Premera Blue Cross of Washington?

The 276 payer IDs for Premera Blue Cross of Washington are 00430 via Stedi and 00430 via Availity.

What state does Premera Blue Cross of Washington operate in?

Premera Blue Cross of Washington operates in WA.

Routing reference

Premera Blue Cross of Washington payer IDs and operating states

Use the payer ID listed for the transaction you are submitting. Verify current routing and enrollment requirements with your clearinghouse.

Premera Blue Cross of Washington payer name, operating states, and transaction-specific payer IDs
Payer namePremera Blue Cross of WashingtonSource: Substrate payer directory · last refreshed
Operating statesWASource: Substrate payer directory · last refreshed
837P professional claims payer IDStedi00430Source: Stedi payer catalog · catalog dated · matched by payer ID
837I institutional claims payer IDStedi00430Source: Stedi payer catalog · catalog dated · matched by payer ID
835 ERA payer IDStedi00430Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID
270 eligibility payer IDStedi00430Source: Stedi payer catalog · catalog dated · matched by payer ID
270 eligibility payer IDAvaility00430Source: Availity payer catalog · catalog dated · matched by payer ID
276 claim status payer IDStedi00430Source: Stedi payer catalog · catalog dated · matched by payer ID
276 claim status payer IDAvaility00430Source: Availity payer catalog · catalog dated · matched by payer ID

Routing sources and verification

  • Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Last refreshed .Open payer website ↗
  • Stedi payer catalogMatched by payer ID; matched record: Premera Blue Cross of Washington. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗
  • Availity payer catalogMatched by payer ID; matched records: OTHER BLUE PLANS PREMERA BLUEEXCHANGE (SHARED ADMIN), PREMERA BLUE CROSS (WA). Source dated .The attached API workbook supplies 270 and 276 payer IDs only. It does not supply 837P, 837I, or 835 IDs.Open current Availity reference ↗
  • United Clearinghouse payer catalogMatched by payer name; matched record: Premera Blue Cross of Washington. The source did not provide a publication date.The attachment supplies payer names and states only; it does not contain transaction-specific payer IDs.Open current United Clearinghouse reference ↗

Clearinghouse payer IDs are transaction-specific and can change. Confirm the current payer list and the member’s ID card before submission.

Payer contact directory

Premera Blue Cross of Washington phone and fax numbers

Use the number associated with your task. These contacts were stated in successful eligibility responses and may apply to specific benefits, products, or departments.

Eligibility / benefits phone
(800) 676-2583PREMERA BLUE CROSS OF WASHINGTON
Prior authorization fax
(866) 411-2573ACUTE INPATIENT REHABILITATION ADMISSION PRECERTIFICATION, SKILLED NURSING FACILITY ADMISSION PRECERTIFICATION
Premera Blue Cross of Washington payer phone and fax directory
Channel and numberPayer NotesDepartmentSpecialties
fax(866) 411-2573Prior authorizationBenefit context: Co-Insurance
  • ACUTE INPATIENT REHABILITATION ADMISSION PRECERTIFICATION
  • SKILLED NURSING FACILITY ADMISSION PRECERTIFICATION
Hospital
fax(866) 411-2585Prior authorizationBenefit context: Co-Insurance
  • ACUTE INPATIENT HOSPITAL ADMISSION PRECERTIFICATION
Hospital
fax(410) 781-7661Utilization managementBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • UTILIZATION MANAGEMENT
fax(833) 453-0101Other stated contextBenefit context: Coverage Basis
  • REACH KIDNEY CARE
fax(844) 295-4637Other stated contextBenefit context: Co-Insurance; Benefit context: Co-Payment
  • BLUE SHIELD OF CALIFORNIA
Hospital
fax(877) 663-7526Other stated contextBenefit context: Co-Payment
  • CLINICAL INTAKE OPERATIONS
Hospital
phone(800) 441-9188Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • Customer Service
Hospital, Hospital - Inpatient
phone(800) 451-0287Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • CUSTOMER SERVICE
Hospital, Hospital - Inpatient
phone(800) 676-2583Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • 00430
  • Customer Service
  • PREMERA BLUE CROSS OF WASHINGTON
Hospital, Hospital - Inpatient
phone(800) 972-8088Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • CUSTOMER SERVICE
Hospital, Hospital - Inpatient
phone(800) 981-3546Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • Customer Service
Hospital, Hospital - Inpatient
phone(844) 770-1500Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • Davis Vision
Vision (Optometry)
phone(866) 470-6244Utilization managementBenefit context: Co-Insurance; Benefit context: Co-Payment
  • UTILIZATION MANAGEMENT
Hospital
phone(866) 773-2884Utilization managementBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • UTILIZATION MANAGEMENT
phone(855) 339-8558Behavioral healthBenefit context: Active Coverage
  • LUCET
Mental Health
phone(800) 238-2227Other stated contextBenefit context: Co-Insurance
  • ANTHEM BLUE CROSS AND BLUE SHIELD
Hospital
phone(800) 397-7337Other stated contextBenefit context: Co-Insurance
  • Availity Auth and Referrals Page
Hospital - Inpatient
phone(800) 424-8270Other stated contextBenefit context: Coverage Basis
  • PRIME THERAPEUTICS
phone(800) 476-0677Other stated contextBenefit context: Non-Covered
  • SOUTHLAND NATIONAL INSURANCE CORP
Vision (Optometry)
phone(800) 541-6652Other stated contextBenefit context: Co-Insurance; Benefit context: Co-Payment
  • BLUE SHIELD OF CALIFORNIA
Hospital
phone(800) 862-3338Other stated contextBenefit context: Co-Insurance
  • ICM
Hospital - Inpatient
phone(833) 447-4397Other stated contextBenefit context: Coverage Basis
  • REACH KIDNEY CARE
phone(833) 798-6733Other stated contextBenefit context: Coverage Basis
  • BCBSAL
phone(855) 784-4561Other stated contextBenefit context: Co-Insurance
  • PREMERA BLUE CROSS
Hospital - Inpatient
phone(866) 803-8002Other stated contextBenefit context: Coverage Basis
  • CARELON MEDICAL BENEFITS MANAGEMENT
  • EVICORE HEALTHCARE
phone(888) 849-3682Other stated contextBenefit context: Co-Payment
  • CLINICAL INTAKE OPERATIONS
Hospital
phone(800) 722-1471
  • PREMERA
phone(800) 727-2227
  • PREMERA BLUE CROSS OF WASHINGTON

Phone and fax numbers sourced directly from the payer response

Disclaimer

The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services — including claims affected by the 2027 CPT code revisions — providers should consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.