Required for outpatient surgeries and imaging services and for all inpatient services and before hospital admission or within 48 hours of emergency admission. Call Innovative Care Management at 1-800-862-3338.

Where to send completed Medical claims for Active Members and Non-Medicare Retirees:

Premera Blue Cross
P.O. Box 91059
Seattle, WA 98111-9159

Where to send completed Medicare Retiree Medical claim forms, Dental claim forms and Retail RX claim forms:

Administration Office
P.O. Box 34464
Seattle, WA 98124-1464

Where to send completed Weekly Disability Benefits claims and all other completed forms:

Administration Office
P.O. Box 34203
Seattle, WA 98124-1203