Premera BCBS of Alaska: How do I register as an out-of-network practitioner? : Reimbursify Customer Care

Premera BCBS of Alaska: How do I register as an out-of-network practitioner? Print

Modified on: Thu, 3 Aug, 2023 at 2:58 PM

Follow the steps below to register as an out-of-network practitioner with Premera BCBS of Alaska:

Download and complete the for located here: https://www.premera.com/documents/021127.pdf
You will select the option: "Add or remove a practitioner”
For “please specify the reason for submitting this form” please write: “Purpose: add provider as a non-participating/ Out of network provider”
Once complete, Send the completed form by email at provider.relationswest@premera.com or fax: 425-918-4937.

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Premera BCBS of Alaska: How do I register as an out-of-network practitioner? Print