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Read More. Ready to serve. In his former work over the last 2 decades, he has helped clients across industries to transform themselves by bringing industry-leading practices and digital and data-led disruption. Easiest way to manage your health plan. Hawaii Mainland Administrators-2012-2022. Self-funded plans typically have more stringent authorization requirements than those for fully-insured health plans. The time limit starts from the date of service, when the medical procedure was performed, and ends on . Joint administration describes a partnership between Regence and an administrator or third-party administrator (TPA). Rishab serves as the Chief Transformation & Operating Officer at HealthComp. You are about to leave regence.com and enter another website that is not affiliated with or licensed by the Blue Cross Blue Shield Association. Chad has grown both large and small businesses, from those with less than $100M of revenue to those producing multiple billions of revenue, focusing on delivery, customer satisfaction, and innovation to create market leadership. Billing and Fees BlueCard Preferred Provider Organization (PPO) or Exclusive Provider Organization (EPO) members can be identified by the "PPO in a suitcase" logo on their card. To the right you will find some "quick links" to some of our more utilized resources. You are about to leave regence.com and enter another website that is not affiliated with or licensed by the Blue Cross Blue Shield Association. Receive the PPO level of benefits when they obtain services from designated BlueCard PPO physicians, other health care professionals or facilities while traveling or living outside of their Blue Plan's service area. The prefix on member ID cards is generally three characters and can be alpha or alpha-numeric. Vouchers and reimbursement checks will be sent by RGA. Local Union 290 Plumber, Steamfitter & Shipfitter Health Trust (U.A. | Privacy Policy | Machine-Readable Files. These services are backed by our state-of-the-art systems that deliver accurate, timely and cost containment solutions for self-funded medical plans. Use the Cross or Check marks in the top toolbar to select your answers in the list boxes. Claims - Request for Primary EOB/Secondary EOB If you would like to be logged out click Cancel. If your company is based in Washington, Oregon, Idaho, or Utah, and youre interested in a self-funded healthcare plan, contact a sales representative, or use the link below to request a quote. Please look for instructions or a phone number on the back of the member ID card. The RGA medical product uses BlueCard nationwide and the Regence Participating and Preferred Provider Plan (PPP) networks. Bellevue, WA 98004, Terms of Use | Privacy| Disclosure Notice Patient Protection Surprise Billing, An Independent Licensee of the Blue Cross Blue Shield Association Serving Select Counties in Washington, for more information on the end of the Public Health Emergency, Disclosure Notice Patient Protection Surprise Billing. Have questions about whether HealthComp is right for your organization? "Blue High Performance Network" will be prominently displayed on the front of the member ID card, along with the "HPN in a suitcase" logo. Patients - Olympic Sports & Spine All Rights Reserved. Lockard & Williams Insurance Services Inc. Loma Linda University Health Care Managed Care Dept, Loma Linda University Student Health Plan, Louisiana Workers Compensation Corporation, Managed Care Systems (Delano Regional Medical Group), Managed Care Systems CDCR (Customer Service: (800) 494-4662), Martin's Point Health Care USFHP/Generations Advantage, Maryland PMHS ValueOptions (Use for ALL Dates of Service), MaxCare (Universal Fidelity Administrators Company), MBA Benefit Administrators Inc (Salt Lake UT), Medicaid of Louisiana (Includes KidMed claims. The Federal Office of Personnel Management (OPM) contracts with health plans throughout the United States providing medical and dental coverage for federal employees and their families. If members are enrolled in primary care physician (PCP) panels, the card will include an office visit copay, if applicable. Explore exclusive offers and more. Regence Group Administrators Have a sales representative contact you. We're here to help. Don't assume that the member's number is their social security number (SSN). Sign in Individuals & FamiliesMedicareFor EmployersFor ProducersFor Providers Don't have a member account yet? Request for HIPAA Certificate Tom was admitted to the California Bar in 1990 and started his legal career with Stammer, McKnight, Barnum and Bailey, LLP. John is responsible for IT services and Security at HealthComp, supporting all aspects of the business. Kim Randazzo serves as the Chief Customer Officer. Claims - Request for Other Insurance Information Find a Provider | Regence Group Administrators | Healthcare Benefits Third Party Administrator in Bellevue, WA and Portland, OR Are you looking for a Doctor or Hospital? Sanoj earned his B.S. When he left the firm to join HealthComp in 2014, he was the Managing Partner (he had represented HealthComp since 2003). He is a creative problem solver with the ability to work in multiple disciplines and cultures with positive customer outcomes. 2023 Regence health plans are Independent Licensees of the Blue Cross and Blue Shield Association serving members in Idaho, Oregon, Utah and select counties of Washington. PCP Selection. Staff call Enterprise Support Center(ESC). The healthcare marketplace and your business needs are both subject to change. Tom serves as the EVP of Partnerships and Strategic Accounts at HealthComp. Most recently, Sanoj served as Head of Healthcare Digital Business and Technology at Cognizant, working with payers and providers in developing solutions that reduced healthcare costs and provided a best-in-class experience for members. Open 24 hours a day, 7 days a week. In a separate move, this one to offices in Lewiston's new business and technology park, created about 100 new jobs for claims analysts. Previously, Tom led Cignas largest employer segment, largest region which was comprised of several health plans including the two largest health plans. Treat claims for these members the same as claims for domestic Blue Plan members. ), Employers Mutual Inc (Jacksonville Florida), Employers Preferred Insurance Company (RX ONLY), EPN - Seton Health Plan Exclusive (Provider ID required), Evergreen Health Coop check the member ID Card for Payer ID, Evolutions Healthcare Systems (New Port Richey FL), Excellus - Blue Cross Blue Shield of Central New York, Excellus - Blue Cross/Blue Shield Rochester Area, Fairmont Specialty Insurance Company - TX, Farm Bureau Mutual Insurance Company (MN Only), Farmers (Civic Property and Casualty Company ), Farmers (Exact Property and Casualty Company), Farmers (Neighborhood Spirit Property and Casualty Company), Fire Department Cityof New York World Trade Center Health, First Health Network (fka CCN Managed Care Inc & PPO OK, Fnd For Medicare of Tulare & Kings Counties Inc, Foundation Benefit Admin. Create one. RGA has the privilege of managing your medical claims and coverage. HMA partners with employers to build and deliver customized health plans designed to protect their two most important assets: their people and their plan dollars. The front of the member ID cards include the: National Account BlueCross BlueShield logo, .css-1u32lhv{max-width:100%;max-height:100vh;}.css-y2rnvf{display:block;margin:16px 16px 16px 0;}. Elaine has over 25 years of experience in human resources, marketing and communications in a range of industries that include information technology/business process services, life sciences/medical devices and financial services. Our friendly and knowledgeable service team members are here to support you in any way, shape, or form. However, when the member receives services outside his/her Blue Plan service area or region, provider reimbursement for covered services is based on the Medicare allowed amount, except for PPO network sharing arrangements (as indicated above). You may see cards with four-character prefixes, e.g., HMSA Blue Cross Blue Shield of Hawaii uses four-character prefixes. Regence Group Administrators | Regence Group Administrators | Healthcare Benefits Third Party Administrator in Bellevue, WA and Portland, OR Your healthcare, simplified. RGA employer group's pre-authorization requirements differ from Regence's requirements. Please follow the instructions on the back of the card to file claims. Corresponding to the claims listed on your remittance advice, each member receives an Explanation of Benefits notice outlining balances for which they are responsible.View or download your remittance advices in the Availity Provider Portal: Claims & Payments>Remittance Viewer or by enrolling to receive ANSI 835 electronic remittance advices (835 ERA) on the Availity Provider Portal: My Providers>Enrollments Center>Transaction Enrollment. > Request Access Welcome Working with us is easier than ever. Flexible Benefits Enrollment/Change Form RGA Portal An Independent Licensee of the Blue Cross Blue Shield Association, for more information on the end of the Public Health Emergency, Disclosure Notice Patient Protection Surprise Billing, Machine Readable Files for Clients headquartered in Oregon or Clark County, WA, Machine Readable Files for Clients headquartered in Utah. COVID-19 Questionnaire, Claim Forms Find a doctorContact us x Attention! It employs 21-50 people and has $5M-$10M of revenue. Additional access to national networks ensures nationwide coverage. Verify your coverage for services. Group Enrollment/Change Form Claims information and vouchers for your RGA patients are available on the Availity Web Portal. Our Solutions | Cambia Health Solutions Group Dental Claim Form Self-funded groups establish their own benefits and Regence is the third-party administrator that provides administrative services for their benefit plans. Our team of healthcare plan experts stands ready to serve your every need. In this role, Tom focuses on strategic initiatives aimed at accelerating HealthComps growth nationwide. Connect to your prescription drug plan. Bellevue, WA 98004, 2023, Regence Group Administrators Critical for confirming a patient's membership and coverage, Identifies the Blue Plan or national account to which the member belongs, The prefix can include alpha and numeric characters (e.g., A2A, 2AA, 22A, AA2, 2A2, A22). Health insurance can help you manage these costs, so finding a good, affordable health plan matters. With RGA you have access to one of the largest networks of high-quality, affordable healthcare providers and our friendly support team is eager to help answer your questions . Comprehensive data analysis on a variety of plan programs reveals cost drivers and savings opportunities. When these logos are displayed on the front of a member ID card, it indicates the coverage type the member has in his/her Blue Plan service area or region. When you see the "PPOB in a suitcase" logo on the front of the member ID card, it means the member has selected a PPO product, from a Blue Plan, and the member has access to a new PPO network, referred to as BlueCard PPO Basic. Joint administration - Regence Most recently, Justin was an Associate Partner and business unit leader at McKinsey & Company where he helped large carriers and healthcare technology companies build new clinical services and solutions for fraud, waste, and abuse. To ensure accurate claims processing, it is critical to capture all member ID card data. Manage your claims and deductibles Find an in-network doctor or hospital Connect to your prescription drug plan View, print, or share your ID card Verify your coverage for services Explore exclusive offers and more Log In to the RGA Portal We provide customized full service offerings including but not limited to: Reference based pricing options. You may do so electronically by submitting an ANSI 270 electronic inquiry or by calling BlueCard Eligibility at 1 (800) 676-BLUE (2583). Claims are processed according to the benefits, rules, guidelines and regulations of the federal government, which supersede state laws. Claims for your patients are reported on a payment voucher and generated weekly. Administrative Services Only (ASO) plans Self-funded 50 - 2,499 subscribers As a leader in ASO service, Regence understands what you and your employees need to navigate health care successfully. Direct Deposit Cancellation Front and back of a card of a Blue Plan member from Uruguay: .css-1q2xf2m{max-width:100%;max-height:75vh;}.css-kscnha{float:left;margin:16px 16px 16px 0;}. Getting started is easy. CancelProceed Loading. Chad has a reputation for creating and controlling rapid growth by focusing on the intersection of customers, market dynamics, and the new digital world. Ameritas Group - Ameritas Life Insurance Co. Ameritas Group - First Ameritas of New York, Ameritas Group - First Reliance Standard Life, Ameritas Group - Standard Insurance of New York, BCBS of Pennsylvania (Highmark) [Institutional], BCBS of Pennsylvania (Highmark) [Professional], Better Health Plans (Unison Health Plans), Blue Cross Blue Shield of Alaska (Premera), Blue Cross Blue Shield of Michigan (Dental), Blue Cross Blue Shield of Michigan (Institutional), Blue Cross Blue Shield of Michigan (Professional), Blue Cross Blue Shield of Oregon (Regence), Blue Cross Blue Shield of Pennsylvania - Highmark, Blue Cross Blue Shield of Pennsylvania (Highmark), Blue Cross Blue Shield of Texas (270/271), Blue Cross Blue Shield of Texas-Medicaid (276/277), Blue Cross Blue Shield of Wisconsin (Anthem), Blue Cross of Washington and Alaska (Premera), BlueChoice HealthPlan of South Carolina Medicaid (HMO), BlueChoice HealthPlan South Carolina Medicaid, Capital District Physicians Health Plan (CDPHP), Carefirst Blue Cross Blue Shield District of Columbia, Carpenters Health and Welfare Trust Fund of St Louis, Carpenters Health and Welfare Trust Fund of St. Louis, Centene - Managed Health Services Indiana, Centene - Managed Health Services Wisconsin, Central Reserve Life Ins Co. Medicare Supp, Central Reserve Life Insurance Company - Medicare Supplement, CHAMPVA/Spina Bifida/Children of Women Vietnam Vets, CHC - Coventry Health and Life (Oklahoma), CHRISTUS Health Plan - NM -Health Insurance Exchange, CHRISTUS Health Plan NM Medicare Advantage, Cigna Voluntary Limited Medical (aka Cigna Voluntary), Colorado Anthem Blue Cross Blue Shield Dental, Community Health Plan of Washington (CHPW), Connecticut Anthem Blue Cross Blue Shield Dental, Constellation Health (INMEDIATA HEALTH GROUP), Continental General Ins Co. Medicare Supp, Continental General Insurance Company - Medicare Supplement, Coresource - Maryland Pennsylvania & Illinois, Coventry Health Care of Carolinas/WellPath, Coventry Health Care Southern Health Services, Coventry Health Care TX (includes Coventry Advantra Freedom), First Reliance Standard Life Insurance Co, First Reliance Standard Life Insurance Company, Food Bakery Confection Workers Fund of So Cal, Georgia Anthem Blue Cross Blue Shield Dental, Government Employees Hospital Association, Government Employees Hospital Association (GEHA), Great American Life Insurance Co. Medicare Supp, Great American Life Insurance Company - Medicare Supplement, Group Hospitalization and Medical Services, Guardian Life Insurance Co. of America - Dental, Harmony Health Plan (WellCare of Florida), HealthPartners of Minnesota (aka CoOportunity Health), HealthSmart Benefit Solutions - West Virginia, HealthSmart Benefit Solutions (Wells Fargo TPA), Indiana Anthem Blue Cross Blue Shield Dental, Insurers Administrative Corporation (IAC), Johns Hopkins Healthcare (Priority Partners & EHP plans only, Kaiser Foundation Health Plan Inc. - Hawaii Region, Kaiser Foundation Health Plan of Hawaii (DHMO Choice), Kaiser Foundation Health Plan of Northwest, Kaiser Foundation Health Plan of the Mid-Atlantic, Kaiser Foundation Health Plan of the Mid-Atlantic States, Kaiser Foundation Health Plan of the Northwest, Kaiser Foundation Health Plan of Washington, Kentucky Anthem Blue Cross Blue Shield Dental, Loyal American Life Insurance Co. Medicare Supp, Loyal American Life Insurance Company - Medicare Supplement, Maine Anthem Blue Cross and Blue Shield Dental, MEDICARE HIPAA ELIGIBILITY TRANSACTION SYSTEM (HETS), Medicare y Mucho Mas (INMEDIATA HEALTH GRP CORP), Mississippi Children's Health Insurance Program, Mississippi SEHP (State Employee Health Plan), Mississippi State Employees and Teachers Health Plan, Missouri (MO) Health Plan (Community & State), Missouri Anthem Blue Cross and Blue Shield Dental, Montana Medicaid - DPHHS/Health Policy Services Division, Network Health Insurance Corp (Wisconsin), Nevada Anthem Blue Cross Blue Shield Dental, New ERA Life Insurance Company (270 transactions only), New Hampshire Anthem Blue Cross Blue Shield Dental, Ohio Anthem Blue Cross Blue Shield Dental, Oklahoma Employees Group Insurance Division, Op. Find an in-network doctor or hospital. Find an in-network doctor or hospital. To contact Corporate, please call1-425-462-1000Monday - Friday 8:00 A.M. - 5:00 P.M. Pacific Time. Idaho Blue Shield (Regence) Blue Shield of Idaho (Per Provider Testing) IDBLS: Professional: Blue Shield of Illinois Illinois Blue Cross Blue Shield: ILBLS: Professional: . (NJCURE), Atlantic PPO to Electric Insurance Company, Atlantic PPO to Encompass Property Casualty, Atlantic PPO to Farmers National Insurance, Atlantic PPO to Fireman's Fund/Parkway Insurance, Atlantic PPO to Flco Administrative Services, Atlantic PPO to Highpoint Insurance/Plymouth Rock, Atlantic PPO to Infinity Insurance Company, Atlantic PPO to National Liability & Fire Insurance Co, Atlantic PPO to New York City Law Department, Atlantic PPO to Personal Service Insurance, Atlantic PPO to Praetorian Insurance Company, Atlantic PPO to Preserver Insurance Company, Atlantic PPO to Teachers Insurance Plan of NJ, Atlantic PPO to Tower National/Tower Group Companies, Atlantic PPO to Universal Underwriters Insurance, Auto-Owners (Home-Owners Insurance Company), Auto-Owners (Property-Owners Insurance Co), Avalon Administrative Services - Capital Blue Cross, Avante Health (Customer Service 559-261-9060), Avectus Healthcare Solutions (Call 855-AVECTUS), Bakery & Confectionery Union & Industry International Health, Banner Health and Aetna Health Insurance Company, Banner Plan Administration - Choice Plus and Select 500, Banner- University Family Care (University of AZ Health Plans), Bart - San Francisco Bay Area Rapid Transit, Bb and T Corporation (Branch Banking & Trust), BCBSPA - BlueCard Par Point of Service (POS), Benefit Coordinators Corporation (Pittsburgh PA), Benefit Plan Administrators Company (Eau Claire Wisconsin), Benefit Plan Administrators Inc. (Roanoke VA), Berkshire Hathaway Direct Insurance Company, Berkshire Health Partners - PPO Wyomissing PA IHS Gateway Pa, BLUE CARE NETWORK (BLUE CROSS BLUE SHIELD OF MICHIGAN), Blue Cross and Blue Shield United of Wisconsin/Comp Care, Blue Cross Blue Shield Minnesota Health Care Program, Blue Cross Blue Shield Mississippi State & Teacher Employees, Blue Cross Blue Shield of Arizona Advantage, Blue Cross Blue Shield of Georgia (Atlanta), Blue Cross Blue Shield of Kansas HMO Regular, Blue Cross Blue Shield of Kansas HMO Senior Plan, Blue Cross Blue Shield of Missouri (Blue Choice), Blue Cross Blue Shield of SC -Companion Tech, Blue Cross Blue Shield of SC -Planned Admin Inc, Blue Cross Blue Shield of South Carolina - State Health Plan, Blue Cross Blue Shield of South Carolina-Companion Healthcar, Blue Cross Blue Shield of South Carolina-Fed Empl Prog (FEP), Blue Cross Blue Shield of South Dakota (Sioux Falls), Blue Cross Blue Shield of Tennessee (Chattanooga HMO Plans), Blue Cross Blue Shield of Tennessee (Chattanooga), Blue Cross Blue Shield of Tennessee (Memphis), Blue Shield of California - Medicare Advantage Encounters, Blue Shield of California - Commercial Encounters, Blue Shield of California Promise Health Plan, Blue Shield of IA 2nd claim only Medicare is primary, BlueCross BlueShield of National Capital Area (CareFirst), BlueCross BlueShield of Western New York Medicaid/CHP, Cannon Cochran Management Services Inc. Metairie LA, Capital International Management Services, Cardinal Innovations Healthcare Solutions, CareCore National LLC (Aetna Radiology Claims), Carenet of VA (use consolidated Coventry payerID of 25133), CarePlus Oncology - New Century Infusion Solutions, Careworks Consultants Inc(aka Careworks USA & CCI) Ohio Only, Carpenters Health and Welfare Fund of Philadelphia, CCMC - Comprehensive Care Management Corp, Central Ohio Primary Care Senior Care Advantage, Central States Joint Board Health and Welfare Fund, Central Susquehanna Healthcare Providers (CSHP), Chautauqua County Healthcare Plan (Mayville NY), Cherokee Nation Comprehensive Care Agency, Chicago Regional Council of Carpenters Welfare Fund, Church Mutual Insurance Company - (AUTO ONLY), Church Mutual Insurance Company - (LIAB ONLY), Church Mutual Insurance Company - (WC ONLY), Church Mutual Insurance Company (WC ONLY), Clackamas County Mental Health (Administered by PH Tech), Clifton Health Systems D/B/A Actin Care Groups, Coastal Communities Physician Network (CCPN), Community Care Behavioral Health Organization, Community Care Inc. - Family Care (Wisconsin), Community Care Managed Health Care Plans of Oklahoma, Community Medical Group of the West Valley.