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Commercial Medical Provider Networks

Participating

The Participating Traditional Network is the largest Regence BCBSU network and supports all traditional and indemnity products. Physicians, other health care professionals and facilities (providers) must participate with this network to be eligible to participate with any other Regence BCBSU network.

Preferred

Two Preferred networks, BlueOption and ValueCare,  provide our members with greater choice in providers while receiving the highest benefit levels.

  • Preferred BlueOption supports members on our Self-managed and Consumer Directed products ( Regence Innova®, Engage®, ActivateSM and HSA Healthplan 2.0SM).
  • Preferred ValueCare supports members on the same Self-managed and Consumer Directed products, as well as our ValueCare, Federal Employee Program (FEP) and BlueCard® PPO members.

Learn more about our Preferred networks:  

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Medicare Provider Networks

Regence MedAdvantage

Our Regence MedAdvantage products use the Regence BlueCross BlueShield of Utah MedAdvantage Network for in-network services with no referral requirements to access specialty care. Regence MedAdvantage provides all Part A and B benefits with additional covered services in one plan.

The Regence MedAdvantage service area includes Box Elder, Cache, Davis, Iron, Morgan, Rich, Salt Lake, Summit, Tooele, Utah, Wasatch, Washington and Weber counties in Utah.

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Dental Networks

Participating Dental

The Participating Dental Network serves our members enrolled in our participating fee-for service dental plans in Utah. Participating dentists are reimbursed according to our maximum allowable fee schedule. Payments and a remittance statement (which explains payment for services provided to our members) are sent directly to participating dental offices each week.

Preferred Dental

The Preferred Network serves members covered under the Federal Employee Program (FEP) and the Caring Foundation. Payments and remittance advices (voucher explaining payment for services provided to our members) are sent directly to contracted dental offices each week.

The Caring Foundation for Children Dental Program
The Caring Foundation for Children Dental Program is a non-profit 501 (c)(3) organization administered by Regence BCBSU. The Caring Foundation provides free dental care to low-income, uninsured children whose families cannot afford private coverage and receive no government assistance such as Medicaid or CHIP. Families whose children meet eligibility guidelines (income thresholds, uninsured status, and under 18 years of age) receive a maximum of $1000 of dental care per child per year for one year. Benefits are provided at no cost to qualified families. The Caring Foundation utilizes our Preferred dental network for services. You may contact the Caring Foundation at (801) 333-5850 or toll free 1 (888) 589-5437 for more information.

Participating Dental Agreements
Regence BlueCross BlueShield of Utah (Regence BCBSU) contracts with dentists and oral surgeons to form dental networks to meet our members’ needs. In return, we offer predictable reimbursement amounts and schedules, direct payment, and a pool of potential patients.

To participate on our dental networks:

  • Review the list of provider types to determine if we contract with your speciality and if the network is open to participation.
  • Complete a Dental Provider Application
    • Login to Provider Center
    • Download the Dental Provider Application in the Reference Library
    • If you do not have a Provider Center account, please register
  • Complete a Provider Information Form (PDF) for additional providers if necessary
  • Sign up for eContracting

 

 

 

 

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