Section |
Change |
Revision
Date |
| Introduction
(PDF) |
Updated newsletter and confidentiality information. |
11/2009 |
| Who
to Contact |
Information moved to Contact
Us and other sections of our Web Site. |
11/2009 |
| Credentialing
(PDF) |
|
11/2008 |
| Identifying
Members (PDF) |
Added updated member card backs for Regence
InnovaSM,
EngageSM, ActivateSM and
Regence HSA Healthplan 2.0SM,
and Regence MedAdvantageTM member card
samples.
|
5/2009 |
| Filing
Claims (PDF) |
Minor text changes and updated UB-04 section. |
11/2009 |
| Payment
(PDF) |
Minor text changes and updated Innova, Engage,
Activate, HSA Healthplan 2.0 and BlueCard claim
voucher samples. |
11/2009 |
| Appeals
(PDF) |
Added language specific to hospital appeals. |
5/2009 |
| Fraud
and Abuse (PDF) |
Expanded section to include topics related to
preventing fraud, External Audit, Federal False
Claims Act and member card fraud. |
11/2009 |
Medical
and Reimbursement Policies (PDF) |
Updated medical and reimbursement policy review
processes. |
5/2009 |
| Care
Management (PDF) |
Minor terminology revision related to Appeals. |
1/15/2009 |
| Quality
Programs (PDF) |
|
8/2007 |
| Behavioral
Health (PDF) |
|
5/2008 |
| Regence
Online Services for Providers (PDF) |
Updated to include recent system enhancements. |
5/2009 |
| RegenceRx® Provider
Basics (PDF) |
|
5/2007 |
| BlueCard® Program
(PDF) |
|
5/2008 |
| Product
Overview (PDF) |
Added HSA Healthplan 2.0SM information. |
2/2009 |
| Federal
Employee Benefit Program (FEP) |
Updated addresses for paper claims submission. |
8/2009 |
Medicare Advantage Plans (PDF)
(Effective thru 12/31/2009)
Medicare
Advantage Plans (PDF)
(Effective 1/1/2010 |
Added 2010 benefit summaries, new member card
samples and changed appeal language. |
|
| Self-Managed
and Consumer Directed Products (PDF) |
Updated deductible options for Innova and Engage
and added a new complementary care benefit maximum
for Innova, Engage and Activate. |
8/2009 |
| Home
Health (PDF) |
|
4/2006 |
| Hospice
(PDF) |
|
4/2006 |
| Glossary
(PDF) |
Added definitions related to Self-Managed and
Consumer Directed productions. |
2/2009 |
