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Regence BlueCross BlueShield of Utah Logo
Utah State For Physicians, Other Health Care Professionals and Facilities
  Contact Us

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

Email: utahprovrel@regence.com
Phone:

(800) 638-0050

Fax: (801) 333-6558

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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
TriWest/TRICARE

Entire state

Sign up for TRICARE eNews

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.

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Request Information

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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
Email

annualwellnessvisit@regence.com

Chart request reports: Email:  Kathryn Lee
Phone: (503) 499-1379
Reimbursement: Email: Lori Mack
Phone: (503) 499-1378

Program questions:

Email: Carolyn Steele
Phone: (801) 333-5749

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.

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EDI Support Center
Regence EDI Support Center
Email: EDIsupport@regence.com
Phone:

1 (800) 713-1693

Fax: 1 (877) 329-3342
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
Phone: 1 (866) 626-8555
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

 

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