On the Availity Web Portal, you can: Show
Visit the Regence provider website, regence.com to learn more about: Claims and payment:
Contact Us – View information about who to contact for questions and issues. Library – Access our Administrative Manual and keep up to date with news. Pre-authorization – View services and supplies that require pre-authorization. Products and networks – Learn more about the products we offer and the provider networks that support them. Programs – View our programs and requirements for radiology, inpatient admissions and patient care management. Subscribe to online communications – receive newsletters and important news via email. We offer the option to subscribe to receive the following communications via email:
Subscribe to receive an email when new editions of the provider newsletters are available. Regence Group Administrators (RGA) is a wholly owned subsidiary of Regence that provides third-party administrative services to self-funded employer groups primarily located in Oregon and Washington. RGA's self-funded employer group members may utilize our Participating and Preferred medical and dental networks. Members may live in or travel to our service area and seek services from you. The RGA medical product uses BlueCard® nationwide and the Regence Participating and Preferred Provider Plan (PPP) networks. Identifying membersThe front of the member ID cards include the:
Obtaining pre-authorization, eligibility, claims status or answers to other inquiresObtain this information by:
Notes:
Submitting claims to RGASubmit claims to RGA electronically or via paper.
Receiving vouchers and paymentVouchers and reimbursement checks will be sent by RGA. Claims information and vouchers for your RGA patients are available on the Availity Web Portal. Provider vouchers and member Explanation of Benefits (EOBs) will include a message code and description. As indicated in your provider agreement with Regence, you will need to hold the member harmless (write-off) the amount indicated on the voucher when these message codes appear. Payment informationWe generate weekly remittance advices to our participating providers for claims that have been processed. Benefits are not assignable; you will receive direct payment even if your patient signs an assignment
authorization. Corresponding to the claims listed on your remittance advice, each member receives an Explanation of Benefits notice outlining balances for which they are responsible. Remittance advices contain information on how we processed your claims. A single payment may be generated to clinics with separate remittance advices for each provider within the practice. Remittance advices include:
Claims for your patients are reported on a payment voucher and generated weekly. They are sorted by clinic, then alphabetically by provider. Each claims section is sorted by product, then claim type (original or adjusted). Within each section, claims are sorted by network, patient name and claim number. The main pages include original claims followed by adjusted claims that do not have an amount to be recovered. View our message codes for additional information about how we processed a claim Appeals
Contact RGA
What is the payer ID for Regence Blue Cross Blue Shield of Oregon?Submit claims to RGA electronically or via paper. Electronically: Submit claims directly to Availity with Payer Identification Code ID RGA01.
Is Regence the same as Regence Blue Shield?Regence is owned by BlueCross BlueShield but is available only to customers in Idaho, Washington, Oregon, and Utah. The company was founded in 1942 and was actually the first insurance company for Utah. Regence provides a variety of health care plans and member rewards.
What states are Regence BCBS?> Regence Life & Health, Portland Oregon, providing health, dental, vision, life insurance benefits and services across Oregon, Washington, Idaho and Utah.
What is Regence timely filing limit?Participating and Preferred providers
Claims must be submitted within one year from the date of service.
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