Reimbursement for services and supplies provided
to Innova and Engage patients will be based upon your current contract.
ValueCare (Preferred) providers will receive ValueCare payment
allowances and Traditional (Participating) providers will receive
Traditional payment allowances. If you are contracted with the
ValueCare or Traditional networks, payment will be remitted to
you, and hold harmless requirements apply. If you are not contracted
with Regence, payment will be sent to the member and you may balance
bill the member.
Medical policies, reimbursement policies and preauthorization
requirements currently in effect will be followed for Innova and
Engage products.
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