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Claims & Billing
Submitting Claims

Regence participating physicians, dentists, other health care 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 submission:

Regence BlueShield of Idaho
Attn: Claims Services
P.O. Box 31603
Salt Lake City, UT 84131-0603

Federal Employee Program (FEP):
Professional providers south of Idaho County and all facilities: BlueCross of Idaho
P.O. Box 7408
Boise, ID 83707

Professional providers in Idaho County and north:

Regence BlueShield of Idaho FEP Claims
P.O. Box 30270
Salt Lake City, UT 84131

Mail all other correspondence to the applicable address:

All correspondence (except Regence MedAdvantage) to:

Regence BlueShield of Idaho
P.O. Box 1271, MS C7A
Portland, OR 97207-1271

Regence MedAdvantage:

Regence BlueShield of Idaho
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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