Find forms that will aid you in the coverage decision, grievance or appeal process. You have other insurance that pays first and UMP is secondary. Coordination of Benefits or Other Party Liability . Regence Provider Appeal Form Special Message: Coming soon, you will be able to dispute (appeal) a claim on Availity from the claim status result page. For services outside this area, please contact customer service directly at 1 (800) 365-3155 as your claim will require special handling. Instructions: 1. Management - prior auth/pre-service requests), Email: Members: Log in/register at MyBlue Customer eService, Regence BlueShield - FEPPO Box 21709Seattle, WA 98111. Regency Blue Cross Blue Shield Of Oregon (541) 772-8906 Visit Website Map & Directions 2057 Commerce Dr Medford, OR 97504 Write a Review. Consult theFEP local plan directory to find addresses and telephone numbers for other plans.Note: If the laboratory work was sent to Washington for testing or analysis, refer to theWashington claims submission map to determine where to send your claim for processing. If you want a written response, you must request one. PO BOX 25956 SALT LAKE CITY, UT 84125 800-662-0876. View the toolkit Claims submission Regence BlueCross BlueShield of Utah Sign in to your Regence account. This form is to be used to request a deduction on a future remittance advice (voucher) in response to a recent recoupment request from Regence, or as a result of an overpayment discovered by your internal claims review process. If your primary plan uses a different mail-order pharmacy, you will have to use your primary plans mail order pharmacy and then submit a claim to Washington State Rx Services. ** We respond to medical coverage requests within 14 days for standard requests and 72 hours for expedited requests. See the About UMP High Deductible Health Plan and If you have other HDHP coverage sections in the UMP High Deductible certificate of coverage for more information on secondary health plans and limitations. Step 3: Next, enter your Username/Password in the appropriate fields. You are about to leave regence.com and enter another website that is not affiliated with or licensed by the Blue Cross Blue Shield Association. Call customer service and web support at 800-607-0546 between 8 a.m. and 6 p.m., Monday through Friday, Pacific Time. Chronic Obstructive Pulmonary Disease. Is this your business? Regence BlueShield serves select counties in the state of Washington and is an independent licensee of the Blue Cross and Blue Shield Association. Please do not submit attachments (e.g., X-rays, periodontal chartings) with your pretreatment estimate or initial claims submission. In the left-hand column, locate the state where services were rendered. Contact us - Regence All features have been transitioned to the Availity Provider Portal. Once that review is done, you will receive a letter explaining the result. | See what were doing in your community to keep people safe and healthy. ), Tel:800-562-1011Fax: 877-239-3390 (Claims and Customer Service)Fax: 877-202-3149 (Member Appeals only)Fax: 866-948-8823 (FEP Care Management - prior auth/pre-service requests), Premera Blue Cross - FEPPO Box 33932Seattle, WA 98133, Retail Pharmacy Program Join us! Though it is not required, you may want to include the UMP Appeals and Grievance form (for medical services) or the Washington State Rx Services Complaint and Appeal Form (for prescription drugs) with your appeal. You can also call Washington State Rx Services with the information at 1 (888) 361-1611 (TRS: 711). A complaint or grievance is an oral statement or written document submitted by or on behalf of a member regarding: Note: If your issue is regarding a denial, reduction, or termination of payment or non-provision of medical services, it is an appeal. You can appeal a decision online; in writing using email, mail or fax; or verbally. Box 890179 Camp Hill, PA 17089 For more information about dual coverage, read the If you have other medical coverage (or UMP High Deductible "If you have other HDHP coverage") section in your plans certificate of coverage. Medical records from your provider, if applicable. Call the phone number on the back of your member ID card. If you or your dependents are enrolled in UMP High Deductible and want to enroll in another health plan, you and your dependents can only enroll in other high-deductible health plans. This is the customer service number for questions about your health insurance coverage, benefits or treatment. Many issues may be resolved with a phone call. Overpayment Recovery Process - Regence complies with applicable Federal and Washington state civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, gender identity, or sexual orientation. Use the link below to find your local BCBS company's website. Member's name and member ID number, including the alpha prefix (three letters and the "W" before member ID number), b. You are about to leave regence.com and enter another website that is not affiliated with or licensed by the Blue Cross Blue Shield Association. Regence BlueCross BlueShield of Oregon. Step 1: Start your internet browser, and then go to the official regence bluecross blueshield of oregon claims address website. You can send your appeal online today through DocuSign. See your certificate of coverage for more information on how to file a claim for specific services and supplies. Deutsch | In every state and every community, BCBS companies are making a difference not just for our members, but For the Health of America. Learn more about billing and how to submit claims to us for payment, including claims for BlueCross and BlueShield Federal Employee Program (BCBS FEP) members. You must appeal within 60 days of getting our written decision. This 30-day period may be extended by 15 days when action cannot be taken on the claim due to: Manage your claimsSee the status of your claims, see how much you owe, find a specific claim, and more by logging in to your Regence account. PDF Amendment to Regence Bluecross Blueshield of Oregon Medical Group Agreement If requested, we will supply copies of the relevant records we used to make our initial decision or appeal decision for free. CLAIM.MD | Payer Information | OR BCBS (Regence) Payer Information OR BCBS (Regence) Payer ID: 00851 This insurance is also known as: Regence Blue Cross of Oregon Blue Cross Blue Shield of OR REGENCE BLUECROSS BLUESHIELD OF OREGON REGENCE BCBS OF OREGON FEP G00851 Other ID's: 12B41, SB850 Need to submit transactions to this insurance carrier? Learn more about global periods, modifiers, virtual care, unlisted codes and NCCI bypass modifiers. You have the right to appeal, or request an independent review of, any action we take or decision we make about your coverage, benefits or services. 24/7 anonymous hotline: 1 (800) 323-1693 Medicare Part C & D: 1 (800) 633-4227 Online reporting form Ethics & compliance hotline Contact informationMedicare Advantage/Medicare Part D Appeals and GrievancesPO Box 1827, MS B32AGMedford, OR 97501, FAX_Medicare_Appeals_and_Grievances@regence.com, Oral coverage decision requests1 (855) 522-8896, To request or check the status of a redetermination (appeal): 1 (866) 749-0355, Fax numbersAppeals and grievances: 1 (888) 309-8784Prescription coverage decisions: 1 (888) 335-3016. Your provider should supply clinically relevant information, such as medical records for services denied based on medical necessity or for other clinical reasons. | Oral coverage decision requests1 (855) 522-8896 To request or check the status of a redetermination (appeal): 1 (866) 749-0355 Fax numbersAppeals and grievances: 1 (888) 309-8784Prescription coverage decisions: 1 (888) 335-3016 You must submit first-level and second-level appeals no more than 180 days after receiving the previous decision. Claims edits If you do not submit your claims through Availity Essentials, follow this process to submit your claims to us electronically. **If you, or your prescribing physician, believe that waiting for a standard decision (which will be provided within 72 hours) could seriously harm your life, health or ability to regain maximum function, you can ask for an expedited decision. 1 0 obj Contact Us | FEP | Premera Blue Cross If you buy your prescription drugs at a network pharmacy, your claim will be submitted for you. Regence BlueCross BlueShield of Oregon, headquartered in Portland, has been serving Oregonians since 1941 and now provides more than 974,000 people with comprehensive health insurance solutions. In every state and every community, BCBS companies are making a difference not just for our members, but For the Health of America. Send your claim or correspondence to the Blue Cross Blue Shield plan in the state where the ambulance picked up the patient.Example: An ambulance picks up the patient in Oregon and transports her to a care facility in Washington. You are about to leave regence.com and enter another website that is not affiliated with or licensed by the Blue Cross Blue Shield Association. Blue Cross Blue shield claim submission address | Medical Billing and Media Contact: Lou Riepl Regence BlueCross BlueShield of Utah Regence BlueShield of . Uniform Medical Plan (UMP) is a self-insured Preferred Provider Organization (PPO) medical plan offered through the Washington State Health Care Authority. P | Regence BlueShield. If an initial phone call does not resolve your complaint, you may submit your complaint over the phone or by email, fax, or mail. A decision to deny, modify, reduce, or terminate payment, coverage, certification, or provision of health care services or benefits, including the admission to, or continued stay in, a health care facility. For the Health of America. Learn about dental billing information to help ensure your dental claims are processed quickly and correctly. You can submit your appeal online, by email, by fax, by mail, or you can call using the number on the back of your member ID card. View your credentialing status in Payer Spaces on Availity Essentials. Other specialized services (home hospice, organ/tissue transplants, and clinical trials). If MAXIMUS disagrees with our decision, we authorize or pay for the requested services within the timeframe outlined by MAXIMUS. We know it is essential for you to receive payment promptly. UMP may cover some supplies through the medical benefit and other supplies under the prescription drug benefit. Appeal form (PDF): Use this form to make your written appeal. TTY/TDD users can call 1-877-486-2048, 24 hours a day/7 days a week. Tagalog | Locate a network pharmacy by using the Pharmacy Locator Tool. Consult theFEP local plan directory to find addresses and telephone numbers for other plans.Note: If the equipment was sent from a DME provider in Washington, refer to thesubmission map to determine where to send your claim for processing. Attn: Appeal UnitPO Box 40168Portland, OR 97240-0168. Identify BlueCard members, verify eligibility and submit claims for out-of-area patients. 2023 Regence health plans are Independent Licensees of the Blue Cross and Blue Shield Association serving members in Idaho, Oregon, Utah and select counties of Washington. The member can appeal, or a representative the member chooses, including an attorney or, in some cases, a doctor. Dental billing - Regence Grievances and appeals - Regence Care Management Programs. Mail or fax both the claim form and the provider's claim document (or bill) to: Regence BlueShieldAttn: UMP ClaimsP.O. Manage your claimsGet your prescription claims history, view your benefits and claims information, and more by logging in to your Washington State Rx Services Account. Select a State. To send an electronic claim, use the Availity clearinghouse with payer ID HMA01. If your coverage changes, call UMP Customer Service and Washington State Rx Services. Phoenix, AZ 85072, Retail Pharmacy Program To obtain information on the aggregate number of grievances, appeals and exceptions filed with the plan contact Customer Service. We will notify you if we need more time to respond. MAXIMUS Federal Services is a contracted provider hired by the Center for Medicare and Medicaid Services (also known as CMS) and has no affiliation with us. You can submit a marketing complaint to us by calling the phone number on the back of your member ID card or by calling 1-800-MEDICARE (1-800-633-4227). Coronary Artery Disease. PO Box 52080 The following information must appear on the provider's itemized bill for the plan to consider the claim for payment: a. Get 5 free searches. Para humingi ng tulong sa Tagalog, pakitawagan ang numero ng telepono ng Serbisyo sa Kostumer (Customer Service) na nakasulat sa likod ng inyong kard bilang miyembro. Stay up to date on what's happening from Bonners Ferry to Boise. No enrollment needed, submitters will receive this transaction automatically, Web portal only: Referral request, referral inquiry and pre-authorization request, Implementation Acknowledgement for Health Care Insurance. Dental billing. Regence Direct Member Reimbursement Form PO Box 91102Seattle, WA 98111-9202. Box 1106Lewiston, ID 83501-1106 Fax: 1 (877) 357-3418 If you have questions about submitting a claim for services outside the U.S., call UMP Customer Service. <> Regence BlueShield - FEPPO Box 31207Salt Lake City, UT 84131, (Attended sleep study at outpatient part of a hospital, home hospice, organ/tissue transplants, clinical trials. With a plan powered by the most trusted name in health insurance, youll have coverage tailored to your health. Regence BlueCross BlueShield of Oregon | Regence Complete and mail or fax a Multiple Coverage Inquiry Form to Regence: Regence BlueShieldAttn: UMP ClaimsPO Box 91015MS BU386Seattle, WA 98111-9115. You must submit prescription drug claims within 12 months of purchase. First, you'll need to gather these documents: An itemized bill from your provider that describes the services and charges. Claims and payment Claims submission Claims submission Claim attachments Learn more about when, and how, to submit claim attachments. Seattle, WA 98121, Support Phone Number: 1.888.427.0470 (toll free), Mon-Fri, 7:00 a.m. to 5:00 p.m. (PT), 1.800.AVAILITY (1.800.282.4548) (toll free), Run transactions to obtain member benefit, eligibility and claims information, Access eContracting to view and sign agreement documents, Our online newsletter (6 issues per year). To request or check the status of a redetermination (appeal). REGENCE BS OF UTAH. All from Regence, a company committed to service, community and this place we call home. Stay up to date on what's happening from Portland to Prineville. Regence BlueShield of Idaho offers health and dental coverage to 142,000 members throughout the state. Products and networks Learn more about the products we offer and the provider networks that support them. Regence BlueCross BlueShield of Utah offers health and dental coverage to 528,000 members throughout the state. Rocketreach finds email, phone & social media for 450M+ professionals. Were proud to stand with you during this challenging time. See our FAQs for more claim information and contacts. Regence users: make the switch to the Availity Web Portal You have been redirected from the Regence or Asuris Northwest Health Provider Center. 2023 Regence health plans are Independent Licensees of the Blue Cross and Blue Shield Association serving members in Idaho, Oregon, Utah and select counties of Washington.
regence bcbs of oregon claims address