This is a summary of benefits for Regence MedAdvantage (all services and supplies are subject to medical necessity and member eligibility). Contact Customer Service at 1 (800) 541-8981 or access Regence Online Services for Providers for complete and current benefit information. Download the Benefit Summary (PDF)

Note: Regence MedAdvantage reimbursement and coding guidelines follow Medicare rules whenever possible. In particular, please note the following:

• Regence Correct Code Editor (CCE) and Centers for Medicare & Medicaid Services (CMS)' National Correct Coding Initiative (NCCI) rules are applied as they are for other Regence products. 
• Diagnosis codes must reflect all digits to the full extent of the code indicated in the ICD-9 coding manual.
• Regence applies our standard multiple procedure fee reductions when reimbursing multiple endoscopic procedures rather than applying Medicare's endoscopic family of codes payment methodology. In most cases, this results in a higher level of reimbursement.

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