| Contact
Provider Services |
Call your Provider
Services Consultant to:
- Discuss the terms of your Participating Provider
Agreement
- Request a personal visit to your office
- Review administrative issues
- Request training on Regence BCBSU products
or issues for office staff
|
Call a Provider Services Assistant
to:
- Discuss general provider issues
- Receive information on how to change your
office address or Tax ID
- Receive information on how to add a practice
associate or office location
- Request a fee schedule
|
| Phone: |
(801) 333-2600 |
| |
(800) 621-2155 |
| |
| At
the prompt, choose Option 6, then Option 2 |
|
Complete the Provider Information Update Form when:
- A provider leaves or joins your clinic or practice
- You have a change to your organization's address, phone number, tax identification or National Provider Identifier number
The form can easily be submitted online or printed and faxed. |
Call our Contracting Department to:
- Request an agreement (contract) application
to become a participating provider
- Check on the status of your application
|
| Phone: |
(801) 333-2600 |
| |
(800) 621-2155 |
| At
the prompt, choose Option 4 |
|
| Note: To
obtain benefits, verify eligibility, or to check
on claims status, please visit the Provider
Center.
If you need additional assistance, call the Provider
Customer Service department
rather than Provider Services. |
Regence BlueCross BlueShield
of Utah
Provider Services Department #26
P.O. Box 30270
Salt Lake City, Utah 84130-0270
|
|
Provider Consultants
View and print our Provider Consultant Territory Map (PDF).
Area
All geographically divided areas encompass all provider types unless otherwise noted. |
Provider Consultants |
Contact Details |
| Northern Utah |
| • |
Davis County north to Idaho state line: including
Box Elder,
Cache,
Daggett, Davis,
Duchesne,
Morgan,
Rich,
Summit,
Uintah,
Wasatch,
and Weber Counties |
| • |
Primary Children’s Medical Center |
| • |
All Intermountain Healthcare (IHC) hospitals and providers |
|
Kim Wood |
(801) 333-5560
kim.wood@regence.com
|
| Northern Salt Lake County |
| • |
Davis County line to 1300 South |
| • |
Research Park |
| • |
Veterans Affairs (VA) Hospital |
| • |
University of Utah Hospital and Clinics |
|
Stephanie Haws |
(801) 333-5714
stephanie.haws@regence.com |
|
| Southern Salt Lake
County and Tooele County |
| • |
1300 South to Utah County line |
| • |
Tooele County |
| • |
All Emergency Room groups |
| • |
Iasis
Hospitals (Davis, Pioneer, Jordan Valley, Salt Lake Regional) |
|
Sandra Marrero |
(801) 333-5974
sandra.marrero@regence.com |
| Southern Utah |
| • |
Beaver, Carbon, Emery, Garfield, Grand,
Iron, Juab, Kane, Millard, Piute, San Juan,
Sanpete, Sevier, Utah, Washington, Wayne counties |
| • |
Non-clinic affiliated anesthesiologists |
| • |
Hospital Corporation of America (HCA) hospitals (Brigham City, Lakeview, Mountain View, Ogden Regional, St. Marks, Timpanogos) |
|
Sandra Campbell |
(801) 333-5872
sandra.campbell@regence.com |
| Ancillary Providers |
| • |
All audiologists, ambulance, chiropractic, durable medical equipment, home health, hospice, long-term acute care, optometrists, podiatrists, pharmacy and physical therapy providers |
| • |
Mental health facilities |
| • |
Pathology labs |
| • |
Skilled nursing facilities |
|
Shawnda Estrada
|
(801) 333-5492
shawnda.estrada@regence.com |
| Dentists – Entire state |
Kimberlee Burfiend |
1 (877) 466-3776
kimberlee.burfiend@regence.com |
|
|
Marge Allen |
(801) 333-5661
marjorie.allen@regence.com |
If you are unsure who your consultant is, please
call the Provider Services general number at (801)
333-2600 or 1 (800) 621-2155, Option 6 then Option
2, and you will be directed
to the appropriate person.
Request Information
| Provider Center |
Register to use
our free, Web-online tool to:
- Verify patient coverage, benefit types and eligibility effective dates
- View patient benefit information, including office visit copayments
- View the status of your submitted claims and payment information
- Search for and view payment vouchers by provider name, voucher number or check number
|
Hours: 7
a.m. - 5 p.m. |
Technical
support:
Phone: 1
(888) 427-0470 |
| Administrative Service Only (ASO) |
Hours: 7 a.m. to 5 p.m.
|
Phone: 1 (866) 227-0913 |
| BlueCard® (Out
of state BCBS) |
Hours: 8 a.m. to 4:30 p.m.
|
| Secure
contact form |
| Phone: |
1 (801) 333-2370 |
| |
1 (800) 782-8211 |
| Automated
Eligibility: |
| Phone: |
1 (800) 676-2583 |
|
| Federal Employee
Program (FEP) |
Hours: 8:30 a.m. to 4:30 p.m.
Monday through Wednesday and Friday (Thursday
9 a.m. to 4:30 p.m.) |
Phone: 1
(877) 668-4657 |
| HSA
Healthplan 2.0SM and HSA
Healthplan 3.0SM |
Hours: 6 a.m. – 6 p.m.,
Monday through Wednesday and Friday (Thursday
9 a.m. to 6 p.m.) |
Phone: 1
(888) 849-0447
Interactive
Voice Response (IVR) available |
Medical Products: Regence BluePoint, Innova® and
Engage® (Core Group)
Dental Products: EncoreSM, ExpressionsSM and RadianceSM |
Hours: 6
a.m. – 6 p.m.,
Monday through Wednesday and Friday (Thursday
9 a.m. to 6 p.m.) |
Phone: 1
(877) 417-6222
Interactive
Voice Response (IVR) available |
| Regence
Evolve and RealValueSM Individual and Family products (Core Individual) |
Hours: 6 a.m. – 6 p.m.,
Monday through Wednesday and Friday (Thursday 9
a.m. to 6 p.m.) |
Phone: 1
(866) 757-3884
Interactive
Voice Response (IVR) available |
| Regence Bridge Medigap
products |
Hours: 6 a.m. – 6 p.m.,
Monday through Wednesday and Friday (Thursday
9 a.m. to 6 p.m.) |
Phone: 1
(888) 323-1501
Interactive
Voice Response (IVR) available
|
| Regence MedAdvantage |
Hours: 7 a.m. - 8 p.m. Monday
through Wednesday and Friday (Thursday 9 a.m.
to 8 p.m.) |
Phone: 1
(877) 508-7362 |
| Annual Wellness Visit Program |
|
Regence Life and Health |
Regence Life and Health sells both life products and health plans. Learn more.
|
Phone: 1 (800) 621-3330 |
| Uniform Medical Plan (UMP) |
Providers will have access to a designated Regence UMP customer service team Monday through Friday from 7 a.m. to 5 p.m. PST:
- Providers may call 1 (888) 849-3682
|
| Other Regence Products |
Hours: 6 a.m. – 6 p.m., Monday through Wednesday and Friday (Thursday 9 a.m. to 6 p.m.) |
For patients on other Regence products, please call the Core Group or Core Individual phone numbers listed above. |
| EDI
Support Center |
| Regence EDI Support Center |
|
| Other |
| Suggested
initial contacts for other types of calls: |
| |
|
| Electronic
billing questions |
| |
| Coordination
of Benefits or Maintenance of Benefits: |
| |
| Caring
Foundation for Children |
|
| |
|
| |
|
| |
|
| Phone: |
1-800-713-1693 |
| |
|
| Phone: |
1 (801) 333-2100
or |
| |
1 (800) 624-6519 |
| |
|
| Phone: |
1 (888) 589-5437 |
|
| Pharmacy |
| General
inquiries: |
| |
|
| |
|
| Pharmacy
Prior Authorization: |
|
| Fax: |
1
(800) 884-4282 |
| |
|
| Fax: |
Medicare Part
D |
| |
1 (888) 335-3016 |
|
Fraud and Abuse |
| Hotline |
|
| Holiday Closure Schedule |
Our offices will be closed for the following holidays:
| 2012 |
| New Year's Day |
Monday |
January 2 |
| President's Day |
Monday |
February 20 |
| Memorial Day |
Monday |
May 28 |
| Independence Day |
Wednesday |
July 4 |
| Labor Day |
Monday |
September 3 |
| Thanksgiving |
Thursday and Friday |
November 22-23 |
| Christmas |
Monday and Tuesday |
December 24-25 |
|
|
