Submitting Claims
Regence participating physicians, dentists, other
health care and dental professionals and facilities
agree to bill us directly for covered services provided
to their Regence and Regence Life
and Health patients within one year of the date of
service.
Once coverage is verified patients should not be asked
for full payment at the time of service.
- Patients may be asked for copayments, coinsurance
and deductibles at the time of service.
- After services are rendered, the patient should
only be billed for any remaining deductible, copayment
and/or coinsurance amounts not collected and non-covered
services.
Electronic claims submission
Regence strongly recommends submitting claims electronically.
Electronic billing is available for all Regence and
Regence Life and Health and BlueCard® out-of-area
patients and offers the following advantages:
- Decreased data errors
- Reduced administrative costs
- Improved cash flow by providing:
- Reduced paperwork
- Expedited claims processing and account reconciliations
- Confirmation reports for submitted, received
and denied claims
Find out more about submitting
claims electronically.
Paper claims submission
Claims must be submitted on appropriate claim forms
(CMS-1500, UB-04, J-400 through J-404).
| Mail
paper claims to: |
Claims Address
(except FEP): |
Regence BlueShield
P.O. Box 30271
Salt Lake City, UT 84130-0271 |
Federal Employee Program (FEP)
Claims Address: |
Federal Employee Program (FEP)
P.O. Box 31207
Salt Lake City, UT 84131-0207 |
| Mail
all other correspondence to the applicable
address: |
| Group and Individual: |
Regence BlueShield
P.O. Box 1271, MS C7A
Portland, OR 97207-1271
|
| FEP: |
Federal Employee Program (FEP)
P.O. Box 21709
Seattle, WA 98111 |
| Boeing: |
Regence BlueShield – Boeing
Plans
P.O. Box 91015
Seattle, WA 98111-9115 |
| Regence MedAdvantage: |
Regence BlueShield
P.O. Box 12625
Salem, OR 97309-0625 |
Claims are generally processed within 14 days after
receipt. However some claims requiring investigation
can take longer.
- If you do not receive notification of a processing
action on a claim within 45 days please verify status
using the Provider
Center.
- If no record is found on Provider Center, please
resubmit the claim.
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