Provider Home Page

AdviCare - 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.

• Diabetes
• Asthma
• Chronic obstructive pulmonary disease
• Cardiac
• Chronic back pain
• Cancer
• Impact conditions, such as acid-related stomach disorders, atrial fibrillation, decubitus ulcer, fibromyalgia, hepatitis C, inflammatory bowel disease, irritable bowel syndrome, osteoarthritis, osteoporosis and urinary incontinence.

The BlueCard Program

• Provider Manual
• 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 (UB92), and American Dental Association (ADA) standard forms.
• 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
• Record(s) Attachment - List of CPT and HCPCS codes which require supporting documentation

Clinical Corner - Message from Dr. Prows, Chief Medical Officer. Resources include:

• Access & Availability
• Bioterrorism
• Clinical BluePrint Articles
• Domestic Violence
• Medical Services
  • Quality Improvement Programs - Resources for improving outcomes
  • Case Management - Resources, referral forms and contact information
• Preconception
• Special Beginnings®

Communications

Contact Us

Contracting/Credentialing

Dental Professionals

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

Frequently Asked Questions

Legislation

• Oregon's Prompt Payment Law and Patient Protection Act amendments
• Health Insurance Portability and Accountability Act of 1996 (HIPAA)

Pre-authorization

• HCPCS and CPT Code List
• MedAdvantage Code List
• Investigational Services Code List
• Case Management

Products and Networks

• Commercial Products
  • BlueChoices^SM
  • Blue Selections
  • Blue Solution
  • Regence HSA Qualified Plans

• Medicare Products
  • First Choice Sixty-Five
  • MedAdvantage
  • Medicare Part D (Prescription Drug Plan)
  • Preferred Choice Sixty-Fiv

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

Provider Library

• Provider Manuals and Handbooks
• Newsletters
• Reports - Detailing our performance outcomes, survey results, and other measures
• Provider Forms - Prior Authorization, Supply Request, Voucher Overpayment Refund, Disclaimer and Suggestion Forms
• Links - National, regional and affiliated health-care organizations

Regence Online Services - Access and input information for your patients who are Regence BCBSO members

RegenceRx Pharmacy

• Meet RegenceRx
• Research Medications - 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

TriWest/TRICARE - TriWest/TRICARE provider network

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

Links to Other Web Site Sections:

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