Provider Home Page

AdviCare^SM - A program that complements the physician treatment plan by identifying eligible members and providing personal contact with a nurse, educational materials, Internet tools and other services.

The BlueCard^® Program

• BlueCard Frequently Asked Questions - BlueCard basics, identifying members and ID cards, verifying eligibility and coverage, preauthorizations, filing claims
• BlueCard Hospital and Doctor Finder
• Resources

Claims and Billing

• Claim Form Instructions - For CMS-1500, CMS1450 (UB-04), and American Dental Association (ADA) standard forms (ADA) J-400 through J-404 .
• Claim Resubmission - Information and form for submitting corrected claims
• Correct Code Editor - Listing and resources detailing Regence BCBSO's code edits developed to supplement National Correct Coding Initiative (NCCI)
• Electronic Claims Information

Contact Us

Contracting/Credentialing

Dental Professionals

• Contracting
• Fee Schedule
• Dental Library - manuals, newsletters and forms
• Dental Directory
• Claims Submission

Pre-authorization

• Group and Individual Products
• Medicare Products (Regence MedAdvantage and Medicare Part D Prescription Drug Plans)
• Federal Employee Program (FEP)
• Regence Rx

Products and Networks

• Group and Individual Products
  • BlueValue
  • Regence HSA Qualified Plans
  • Regence HSA Healthplan 2.0^SM
  • Regence Innova^®and Engage^®
  • Regence Evolve^SM Individual and Family products
• Medicare Products
  • Regence MedAdvantage
  • Regence Bridge Medigap
  • Medicare Part D Prescription Drug Plans

Provider Search - Locate other physicians or professional providers who contract with us to provide services to our members, or update your information online

Provider Library

• Policies
• Newsletters
• Provider Forms
• Printed Materials
• Provider Manuals

Provider Center - (formerly Regence Online Services for Providers) Access and input information for your patients who are Regence BCBSO members

RegenceRx Pharmacy

• Meet RegenceRx
• Research Medications - Medication Policies, Preferred Medication List (PML), Alphabetical List, Therapeutic Class List, RxPrice Guide, ePocrates, Prior Auth/Medication Quantities, Alternative Medications, About Generics
• Use Physician Resources - How Rx Benefits Work, Glossary of Coverage Terms, Getting Prescriptions Filled, Download Forms
• Educational Tools - ConsumerRx, Generics
• View Special Programs - New Programs, Blood Glucose Meter, McKesson Specialty, Half-Tablet, Patient Assistance

Special Beginnings^® - Special Beginnings is a proactive maternity care management program available to many members throughout The Regence Group in Oregon, Washington, Utah and Idaho. The program is a benefit provided by The Regence Group or purchased as an add-on benefit by an employer group. Member participation is voluntary.

TriWest/TRICARE - TriWest/TRICARE provider network

Workshops - Schedules and information on workshops in your area and online

Links to Other Web Site Sections:

• About Us
• For Members
• For Employers
• Need Coverage?
• Regence BCBSO Home Page