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Electronic Transactions
Electronic Transactions

We want to make it easy for you to do business with us. This means providing you with online resources and options that can help you save time, money and paper and streamline your administrative processes.

Electronic Data Interchange (EDI) transactions
The fastest way to conduct business with Regence throughout the entire claims process is via EDI—the computer-to-computer transmission of standardized information. EDI transactions are often identified by numbers assigned by the American National Standards Institute (ANSI). In addition to the ANSI transactions we currently accept (listed in the table below), we also offer the following paperless options:

  • Claim attachments - Eliminate lost documents and reduce the number of requests sent for the same information.
  • Electronic funds transfer (EFT) - Receive payment faster. Sign up to receive claim payments deposited directly into your bank account.

If you are not submitting claims and attachments electronically and receiving payments and vouchers electronically, we strongly urge you to consider doing so.

View our Electronic Transactions flyer (PDF).

Submitting claims electronically

Electronic claims may be submitted through many types of practice management software systems or via Internet file transfer protocol (FTP). You can also enroll with the billing service or claims clearinghouse of your choice.

Claims transaction options:


See how you can save time, money and paper with electronic transactions

Effective August 1, Regence will no longer print and mail Claim Vouchers. After August 1, Claim Vouchers can be received via one of the following options:

  • The Provider Center, our free, secure online tool
  • American National Standards Institute (ANSI) 835 Electronic Remittance Advice (ERA), the standard HIPAA remittance advice

Regence EDI
Support Center

1 (800) 713-1693
Fax: (877) 329-3342
EDIsupport@regence.com

EDI Support Center Contact Form

EDI transactions
Regence currently accepts the following ANSI v5010 transactions:

Type Description
Enrollment Information

270/271

Eligibility Request and Response

 Complete an EDI Transaction Enrollment Form

276/277

Claims Status Inquiry and Response

 Complete an EDI Transaction Enrollment Form

277CA

Health Care Claim Status Acknowledgement

Enrollment is automatic, no action required

278

Referrals, Pre-certifications and Pre-authorization Inquiry and Response

 Complete an EDI Transaction Enrollment Form

837

Health Care Claim

  • Dental
  • Institutional
  • Professional

 Complete an EDI Transaction Enrollment Form

835

Electronic Remittance Advice (ERA) (View the list of recent enhancements)

 Complete an EDI Transaction Enrollment Form

999

Implementation Acknowledgement for Health Care Insurance

No enrollment needed, submitters will receive this transaction automatically

TA1

Interchange Acknowledgement

No enrollment needed, submitters will receive this transaction automatically

Paper use is costly, inefficient and prone to errors. Let's work together to address the dollars that can be saved today through simple steps like electronic claim submissions, attachments, payments and remittances. Sign up and start saving today!