Regence's February 2011 The Connection Online
Our online newsletter provides important information for physicians, dentists,
other health care and dental professionals, facilities and their staff.
- Updates to policies and procedures
- Administrative and billing changes
- Notices regarding electronic transactions
Read our February 2011 edition today.
Subscribe to receive email notifications when each issue is available.
New issues are published in February, April, June, August, October and December.
The Regence BlueCross BlueShield of Oregon Web site for providers
is designed for our physicians, other health care professionals
and facilities. Check this site frequently for the latest
information, including:
- BlueCard® – Nation-wide Doctor
and Hospital Finder, manual and resources.
- Pharmacy Section – Formulary search,
generic and brand-name medications, co-pay tier information,
and list of alternative (or generic) medications.
- Provider Library – Manuals, newsletters,
medical and reimbursement policies and forms.
- Behavioral Health – Forms and instructions.
- Claims and Billing Procedures –
Information about paper and electronic claims submission.
- Credentialing – Applications and
contact information.
- Contact information – Provider
Services Representatives, Provider Consultants, customer
service address and phone numbers.
- Workshops – Including BlueCard,
Medicare Part D, and MedAdvantage.
- Utilization Management – Case
Management, pre-authorization and AdviCare programs.
- Provider Center – Provider Center is a Web-based service physicians and other
health care practitioners can use to access eligibility,
claims status and much more for Regence BlueCross BlueShield
of Oregon members (including FEP and BlueCard).
- Eligibility verification –
Search by member's ID number or name and/or birth date.
- Family Eligibility – A list
of subscriber family members with current coverage information
as well as effective and paid through dates.
- Benefit detail – by member,
includes information specific to the benefit type, including
copays and deductibles.
- Claims summary – for the last
two years is displayed. Claim summary includes the amount
paid, the date of the voucher and Regence specific message
codes.
- Referrals – Ability to add
a referral and to review existing referrals.
- Provider Directory – Ability
to search for participating providers by specialty,
network participation and geographical location.
- User guide – to help you easily
move through Provider Center.
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