This publication contains important information, including updates to policies and procedures, for physicians, dentists, other health care and dental professionals, facilities and their staff.
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If you are not submitting claims and attachments electronically and receiving payments and vouchers electronically, we strongly urge you to consider doing so.
You may be an emergency room (ER) alternative, if you:
Members can now quickly view which providers are ER alternatives when searching on myRegence.com. The Provider Search feature automatically highlights clinics contracted with us as urgent care centers or retail clinics.
If you offer walk-in clinic care but do not have a specialty of either urgent care center or retail clinic, you can secure the same level of prominence on the Provider Search feature in less than five minutes by updating your profile.
Changes to our medical policies are listed below. Learn how policies are reviewed. Our Coding Toolkit includes codes that require clinical information (updated monthly), a complete list of code groupings and our Correct Code Editor (updated quarterly).
Medical
Reimbursement
Dental
View our Dental Policy Manual.
Medication
Learn how obsolete medication codes are reviewed on a quarterly basis.
Summaries of past changes and detailed policies are available in our Medication Policy Manual.
View our group and Individual products Preferred Medication List/Formulary.
Search the Regence MedAdvantage + Rx and Medicare Part D formulary.