Making prior authorization easier for your employees to get the care they need

Getting healthcare shouldn’t feel harder because of paperwork. That’s why Premera is continuing to simplify prior authorization by making it faster, clearer, and easier for members and providers to navigate. Prior authorization is used for a limited number of services to help ensure care is appropriate, evidence‑based, and covered, but we recognize the process hasn’t always worked as smoothly as it should.

Today, many members are seeing real improvements. When complete clinical information is submitted, about 85% of electronic prior authorization requests are now approved in real time, helping reduce delays in care. Premera has also removed prior authorization requirements for services where they no longer add clinical value, improved plain‑language communications, and ensured licensed clinicians review any requests that need additional evaluation.

These efforts also support continuity of care. When an employee changes health plans, prior authorizations are honored for 90 days when services are covered and in network, helping avoid treatment disruptions during transitions. This work builds on national commitments across Blue Cross and Blue Shield plans and reflects Premera’s ongoing focus on reducing administrative burden so your employees can focus on their health—not paperwork.

Read the full member story on the Premera Healthsource blog.

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