Customer Service
Customer Service specialists can assist you to:
- Check patient benefits and eligibility
- Create or verify referrals
- Check vouchers and claim status
- Request reconsideration of payment
- Receive help with claim specific billing or coding issues or
maximum allowable fees
Provider relations representatives
Provider relations representatives are the main points of contact
for billing, coding, contract terms and demographic
information changes.Contact your provider relations representative
for:
- Questions on provider agreement terms
- Explanation of specific medical, administrative or reimbursement
policies
- Callshare issues
- General education regarding billing and coding methods
- Requests for Regence BCBSO 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
You can locate the provider relations representative assigned to
your area on the Provider Web Site at www.or.regence.com/provider in the Contact
Us section.
Provider consultants
Provider consultants resolve global issues through communication
with medical clinics and physician offices. Provider consultants
are the primary external contact for building relationships and implementing
strategic initiatives. Contact your provider consultant for:
- New office orientations
- 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
You can locate the provider consultant assigned to your area on
the Provider Web Site at www.or.regence.com/provider in the Contact
Us section.
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