Section |
Change |
Revision
Date |
| Introduction
(PDF) |
Minor text changes including where to find Contact
information. |
11/2009 |
| Who
to Contact |
Information moved to Contact
Us and other
sections of our Web Site.
|
11/2009 |
| Provider
Agreements (PDF) |
|
11/2008 |
| Credentialing
(PDF) |
Revised Practice Site Review Standards. |
11/2008 |
| Identifying
Members (PDF) |
Added updated member card backs for Regence
Innova®, Engage®, ActivateSM and
Regence HSA Healthplan 2.0SM, and Regence
MedAdvantageTM member card
samples. |
5/2009 |
| Filing
Claims (PDF) |
Minor text changes, form samples removed and
updated UB-04 section. |
11/2009 |
| Payment
(PDF) |
Minor text changes and updated Innova®,
Engage®,
ActivateSM, HSA Healthplan 2.0SM and
BlueCard claim voucher samples. |
11/2009 |
| Appeals (PDF) |
Effective 1/15/09. |
10/15/2008 |
| 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 Policy (PDF) |
Updated medical policy information; added new
information regarding requests for reimbursement
policy reviews. |
5/2009 |
| Care
Management (PDF) |
|
11/2007 |
| Quality
Programs (PDF) |
|
8/2007 |
| Behavioral
Health (PDF) |
Updated contact telephone numbers and Web addresses. |
8/2008 |
Provider Center
(formerly known as Regence Online Services for Providers) |
Updated references to the name of the tool. |
9/2009 |
| RegenceRx® Provider
Basics (PDF) |
|
5/2008 |
| BlueCard® Program
(PDF) |
Added Medicare Private Fee For Service information
for out of area Medicare members. |
5/2009 |
| Product
Overview (PDF) |
Added information regarding HSA Healthplan 2.0SM. |
2/2009 |
| Federal
Employee Program (FEP) (PDF) |
Updated information including new FEP Customer
Service phone number for providers. |
2/2009 |
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. |
8/2009 |
| Glossary
(PDF) |
Added definitions related
to Self-Managed and Consumer Directed products. |
2/2009 |
