Coverage profile
How Substrate can help you with Premera Blue Cross of Washington
Substrate can help practices and billers with the following claims tasks for Premera Blue Cross of Washington.
Claim status
EDI 276/277The Substrate Claim Status Agent can check clearinghouse claim status for your practice with Premera Blue Cross of Washington.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Premera Blue Cross of Washington.
Enhanced claim status
Availity ECSPortal claim status
Browser automationThe Substrate Claim Status Agent can check claim status via the payer portal for Premera Blue Cross of Washington.
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 paymentView chart data as a table
| Service month | Median | 10% of adjudications by | 90% of adjudications by | Completed claims | Coverage |
|---|---|---|---|---|---|
| Apr | 15 days | 9 days | 19 days | 394 | WA |
| May | 13 days | 7 days | 19 days | 522 | WA |
| Jun | 13 days | 8 days | 18 days | 472 | WA |
| Jul | 12 days | 7 days | 16 days | 261 | WA |
| Aug | No qualified data | ||||
2027 maternity billing research
When does Premera Blue Cross of Washington change OB/GYN billing?
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.
Can I automate Premera Blue Cross of Washington portal follow-up?
Yes — portal retrieval is required when 276/277 is missing or stale. See payer portal automation and learn why 276/277 is not enough.
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.
| Payer name | Premera Blue Cross of WashingtonSource: Substrate payer directory · last refreshed |
|---|---|
| Operating states | WASource: Substrate payer directory · last refreshed |
| 837P professional claims payer IDStedi | 00430Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | 00430Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | 00430Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | 00430Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDAvaility | 00430Source: Availity payer catalog · catalog dated · matched by payer ID |
| 276 claim status payer IDStedi | 00430Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 276 claim status payer IDAvaility | 00430Source: 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
| Channel and number | Payer Notes | Department | Specialties |
|---|---|---|---|
fax(866) 411-2573 | Prior authorizationBenefit context: Co-Insurance |
| Hospital |
fax(866) 411-2585 | Prior authorizationBenefit context: Co-Insurance |
| Hospital |
fax(410) 781-7661 | Utilization managementBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| |
fax(833) 453-0101 | Other stated contextBenefit context: Coverage Basis |
| |
fax(844) 295-4637 | Other stated contextBenefit context: Co-Insurance; Benefit context: Co-Payment |
| Hospital |
fax(877) 663-7526 | Other stated contextBenefit context: Co-Payment |
| Hospital |
| phone(800) 441-9188 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Hospital, Hospital - Inpatient |
| phone(800) 451-0287 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Hospital, Hospital - Inpatient |
| phone(800) 676-2583 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Hospital, Hospital - Inpatient |
| phone(800) 972-8088 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Hospital, Hospital - Inpatient |
| phone(800) 981-3546 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Hospital, Hospital - Inpatient |
| phone(844) 770-1500 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Vision (Optometry) |
| phone(866) 470-6244 | Utilization managementBenefit context: Co-Insurance; Benefit context: Co-Payment |
| Hospital |
| phone(866) 773-2884 | Utilization managementBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| |
| phone(855) 339-8558 | Behavioral healthBenefit context: Active Coverage |
| Mental Health |
| phone(800) 238-2227 | Other stated contextBenefit context: Co-Insurance |
| Hospital |
| phone(800) 397-7337 | Other stated contextBenefit context: Co-Insurance |
| Hospital - Inpatient |
| phone(800) 424-8270 | Other stated contextBenefit context: Coverage Basis |
| |
| phone(800) 476-0677 | Other stated contextBenefit context: Non-Covered |
| Vision (Optometry) |
| phone(800) 541-6652 | Other stated contextBenefit context: Co-Insurance; Benefit context: Co-Payment |
| Hospital |
| phone(800) 862-3338 | Other stated contextBenefit context: Co-Insurance |
| Hospital - Inpatient |
| phone(833) 447-4397 | Other stated contextBenefit context: Coverage Basis |
| |
| phone(833) 798-6733 | Other stated contextBenefit context: Coverage Basis |
| |
| phone(855) 784-4561 | Other stated contextBenefit context: Co-Insurance |
| Hospital - Inpatient |
| phone(866) 803-8002 | Other stated contextBenefit context: Coverage Basis |
| |
| phone(888) 849-3682 | Other stated contextBenefit context: Co-Payment |
| Hospital |
| phone(800) 722-1471 |
| ||
| phone(800) 727-2227 |
|
Phone and fax numbers sourced directly from the payer response
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)