| Provider Services
Provider Services staff are the main points of contact
for physicians, other medical professionals
and health-care facilities. Members please
contact customer
service with questions. Behavioral health, vision,
chiropractic and other complementary and alternative
service providers please contact staff assigned to your
field.
| Provider
Services Executives |
Stephanie
Dreyfuss, Vice President, Provider Services
Vicki
Federico, Assistant Director, Provider Services |
| Provider
Relations |
| Provider relations
representatives are the main points of contact
for billing, coding, contract terms and demographic
information changes. Contact your provider services
representative for:
- New office orientations
- Questions on contract terms
- Explanation of specific medical, administrative
or reimbursement policies
- Callshare issues
- General education regarding billing and coding
methods
- Requests for Regence BlueCross BlueShield
of Oregon participating and preferred agreements
- Provider information changes e.g. address
or tax identification changes
- Provider complaints and grievances
- Inquiries that cannot be resolved through
Provider Customer Service
| Locate and
contact your provider relations representative
on our interactive map of Oregon |
 |
| For contact information
for Washington, Idaho and California bordering
counties, please click here. |
|
| Provider
Consultants |
|
Provider consultants resolve global issues
through communication with clinics and physician
offices. The provider consultants are the primary
external contact, building relationships and implementing
strategic initiatives. Contact your provider consultant
for:
- Strategic initiatives
- Operational interface between organized groups
and the health plan
- Office visits requested for problem solving
- Resolution of global issues e.g. policies,
medical review
- Office manager forum participation
- Electronic tools, including information and
training on Regence Online Services
- Delegation arrangement issues
| Locate and
contact your provider consultant on our
interactive map of Oregon |
|
| For contact information
for Washington, Idaho and California bordering
counties, please click here. |
|
| Provider
Training and Communications
|
| Provider Training and
Communications produces written provider communications
including newsletters, bulletins and manuals. This
department also conducts external provider workshops
and is responsible for project management for corporate
initiatives affecting contracted physicians and
other providers. Provider Training and Communications
also developed and maintains this Provider Information
Site. Comments and suggestions relating to
this Web site, workshops and training or communications
can be directed to or_provider_communications@regence.com. |
| Provider
Network Development |
| Provider Network Development,
also known as contracting, builds and maintains
provider relationships through their role in negotiating
agreements with physicians, medical groups, facilities
and independent physician associations. |
|
