May 2009
Welcome to The Connection Online
The Connection Online offers additional news and articles not found in our printed issue, The ConnectionSM (PDF).
We hope you find The Connection Online to be a helpful, supplemental resource and encourage you to read the printed and online issues. Our newsletters are published quarterly in February, May, August and November.
Have feedback? Contact Provider Communications.
Non-MD
and non-DO providers:
Sign up to receive 2009 amendments electronically
We are are offering non-MD and non-DO providers the option to participate in our eNotification pilot.
Once registered, you'll be able to receive amendments to your provider agreement with us through your email.
Regence Online Services for Providers enhancements
To help save your office time, we've expanded the information available on our free, online tool. Enhancements include:
-
Basic accumulators added for members of our new products
- Payment voucher search expanded
- BlueCard® search features improved
- Change to user registration process
ProClaimWin enhanced and Internet connectivity
now available
We encourage offices with high-speed Internet connectivity to download the latest version of our ProClaimWin software.
We recently made the enhancements to the ProclaimWin software package many offices use to submit claims and retrieve reports.
myRegence.com newsletter available and member Rewards program expanded
Our
printed
member newsletter (PDF) is available for you to include in your
office's waiting room.
The newsletter is published quarterly and includes health-related articles that can be enjoyed by members of any health plan.
Administrative and Billing Updates
Electronic funds transfer offers many advantages
Claim payments may be deposited directly into your bank account. If you are not already receiving electronic payments, we encourage you to consider the following advantages:
Claim adjustment periods change
The following timelines related to claim adjustment periods have been enacted by House Bill 165. Please be aware of these timelines and update your billing practices accordingly.
Policies
New hospital-acquired conditions reimbursement policy
Regence has established a reimbursement policy effective August 1, 2009 and will no longer reimburse for hospital-acquired conditions (HAC) and iatrogenic complications. HACs include preventable infections and medical errors.
HACs are conditions not present when a patient arrives at the hospital or other facility, but develop during his or her stay. Iatrogenic complications are any adverse conditions which are the direct result of treatment by a physician or other health care professional.
Join our medical policy discussions
We welcome your input and feedback as we draft our medical policies. It's easy to join our email reviewer list. Simply complete our request form.
While we prefer to receive input as policies are developed, we also have a formal process that allows physicians, other health care professionals and facilities to submit additional information, such as clinical trial results, that may warrant a policy review.
Updates to medication policies and list
Medication policies
Summaries of recent changes (PDF) and detailed policies are available in our Medication Policy Manual.
Preferred Medication List/Formulary (PML)
View our Preferred
Medication List/Formulary (PML) in alphabetical
order or by therapeutic
class.