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. Learn more. In the left-hand column, locate the state where services were rendered. Regence BlueShield of Idaho offers health and dental coverage to 142,000 members throughout the state. You or your authorized representative (including a relative, friend, advocate, attorney, or provider) may submit an appeal by using the methods described in the Where to send complaints or appeals section below or by calling UMP Customer Service (medical appeals) or WSRxS Customer Service (prescription drug appeals). Rocketreach finds email, phone & social media for 450M+ professionals. Subscribe to online communications receive newsletters and important news via email. A retroactive decision to deny coverage based on eligibility. Billing | Life Flight Network Coverage decisionsA coverage decision is a decision we make about what well cover or the amount well pay for your medical services or prescription drugs. 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. Blue cross blue shield address Medicaid Address and phone number - List 1 Medicaid claim submission address - List 2 Medicare . 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. PO BOX 25956 SALT LAKE CITY, UT 84125 800-662-0876. This is the customer service number for questions about your health insurance coverage, benefits or treatment. There are three levels to the appeals process: first-level, second-level, and external review (independent review). Contact us - Regence Attn: Member Appeals Get 5 free searches. Regence BlueCross BlueShield of Oregon hiring Trainer I in Medford 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 THIS AMENDMENT, effective January 01, 2023, hereby amends the Medical Group Agreement ("Agreement" or as otherwise defined in the Agreement) and any and all amendments, addenda, attachments or exhibits thereto by and between Regence BlueCross BlueShield of Oregon (Regence or as otherwise defined in the Agreement and hereafter referred to as 2 0 obj Uniform Medical Plan (UMP) is a self-insured Preferred Provider Organization (PPO) medical plan offered through the Washington State Health Care Authority. If an initial phone call does not resolve your complaint, you may submit your complaint over the phone or by email, fax, or mail. ), 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 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. With a plan powered by the most trusted name in health insurance, youll have coverage tailored to your health. <> Find forms that will aid you in the coverage decision, grievance or appeal process. Centers of Excellence and Washington State Prescription Services do not provide BlueCross BlueShield services and are separate companies solely responsible for their products/services. PO BOX 21267 SEATTLE, WA 98111 800-845-0377. In Washington, Premera Blue Cross and Regence BlueShield share responsibility for claims processing, customer service, and prior authorization requests based on where the patient receives the service and what kind of service was received. 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. 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 will notify you once your application has been approved or if additional information is needed. Open 24 hours a day, 7 days a week. Ask your provider. Learn about electronic funds transfer, remittance advice and claim attachments. Join us! 24/7 anonymous hotline: 1 (800) 323-1693 Medicare Part C & D: 1 (800) 633-4227 Online reporting form Ethics & compliance hotline See how our affordable Regence plans offer coverage, access and convenienceso you can live your best. 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. First- and second-level appeals are part of an internal review process, while independent reviews are part of an external review process. 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.
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