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| The following information and resources are offered to provide support to physicians, other health care professionals and their staff:
AdviCare |
Regence has partnered with American Healthways to work with patients, their families and their physicians to offer education, coordination and continuing support to members with specific chronic diseases or health conditions. |
| Case Management |
Regence Case Managers are experienced registered nurses and social workers who will provide one on one support and guidance for any disease or health condition. This complimentary service to our members will provide educational material, support, guidance and a personalized advocate to help navigate the health care system. |
| Medical Pre-authorization |
Pre-authorization is a prospective determination performed
by licensed health-care professionals. The intent is
to determine the medical necessity and appropriateness
of the proposed treatment, level of care assessment
and appropriate treatment setting.
Investigational services and supplies
Pre-authorization for investigational services and supplies is required. Charges for investigational services and supplies are denied as provider write-offs unless the patient agrees in writing prior to receiving services to be financially responsible for the charges. View services and supplies currently considered investigational. |
| Pharmacy Prior Authorization |
Pharmacy prior authorization information and forms are located on the RegenceRx Web site. |
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