Electronic Transactions
Regence is committed to providing you with superior
claims servicing. As part of our commitment, we are
pleased to offer several electronic transaction choices.
If you are a physician, dentist, other health care
professional or facility, you may use electronic transactions.
Benefits:
- Reduced administrative costs
- Decreased data errors
- Improved cash flow by providing:
- Expedited account reconciliations and claims
processing
- Reduced paperwork
- Confirmation reports for submitted, received
and denied claims
Submitting electronic transactions
Electronic claims may be submitted through many types
of practice management software systems or via Internet
file transfer protocol (FTP). You may also enroll with
the billing service or claims clearinghouse of your
choice.
Several time-saving paperless options are available.
- Batch transactions: Larger offices
submitting batch transactions may use our electronic
claims partner, Availity®,
LLC (Availity).
- Non-batch transactions: Smaller
practices may prefer to use Office
Ally to submit their electronic claims.
Regence accepts the following American National Standards
Institute (ANSI) transactions:
| Type |
Description |
Enrollment
information |
| 837 |
Health Care Claim
- Professional
- Institutional
- Dental
|
To enroll, contact our electronic
claims clearinghouse partner, Availity,
or, for smaller practices, Office
Ally. |
| 835 |
Remittance Advice |
Contact Availity to
enroll |
| 270/271 |
Eligibility Request and Response |
Contact Availity to
enroll |
| 276/277 |
Claims Status Inquiry and Response |
Contact Availity to
enroll |
| 278 |
Referrals, Pre-certifications and
Pre-authorization Inquiry and Response |
Contact Availity to
enroll |
Learn more about Availity and Office
Ally.
|
