When we hear a common or recurring issue, we strive to find a way to relieve or resolve that issue. Below you will find job aids, charts or documentation that provides you with quick and easy to understand information. We encourage you to reference this site often as we create, add and revise items whenever necessary.

Regence Clinical Edits by Code List
Regence claim adjudication systems utilize customized editing rules and Medicare's National Correct Coding Initiative (NCCI) as the basis for clinical edits. Regence claim adjudication systems are updated on a quarterly basis to recognize the most recent CPT and HCPCS codes, modifier 51 exempt codes, and add-on code changes. Updates to the Regence Clinical Edits by Code list will be posted on a monthly basis.

Common Alpha Prefixes for Members (PDF)
This is a listing of the most common alpha prefixes used in the state of Washington and where to submit applicable claims. The list is most helpful when services are performed within the Regence BlueShield service area. This list also indicates when you should summit the claim to Regence BlueShield or Premera Blue Cross. When billing for services for claims using prefixes NOT included on this list, you may continue to bill either Regence BlueShield or Premera Blue Cross.

Alpha prefix list for The Boeing Company (PDF) - updated 11/22/2010
This is BlueCross BlueShield of Illinois' list of alpha prefixes for The Boeing Company employees. The alpha prefix list is effective January 1, 2011.

Administrative Simplification Job Aid (PDF)
Keeping track of all the new changes in healthcare can be challenging. Using this job aid gives your office a quick preview of the administrative policies available and what they can do to streamline and simplify your work processes.

Guide to Claim Vouchers (PDF)
A Guide to Claim Vouchers for your Innova^SM, Engage^SM, Activate^SM, HSA Healthplan 2.0^SM and BlueCard^® (out-of-area) patients are reported on a Claim Voucher. Claims for your patients on other Regence products are reported on separate vouchers.  

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