About Regence BlueCross BlueShield
Regence BlueCross BlueShield operates as the BCBS affiliate across Washington (King County), Oregon, Idaho, and Utah. The company serves over 2.8 million members across these four states and is a dominant payor in the Pacific Northwest.
How fast does Regence BlueCross BlueShield pay?
Regence typically reimburses clean claims within 30 to 45 days. Idaho and Utah claims may take slightly longer due to lower claim volumes.
Common denial and billing issues.
- State-specific billing rules differ across four states
- Authorization obtained from wrong state entity
- Coordination with Premera for non-King County Washington members
- Network adequacy issues in rural Idaho and Utah
Prior authorization requirements.
Authorization requirements vary by Regence state plan. All plans require authorization for inpatient, surgical, and specialty services. Authorization is managed through Availity or state-specific Regence provider portals.
How Copay works with Regence BlueCross BlueShield.
Regence claims are evaluated by Copay using state-specific reimbursement data for each of its four operating states. Oregon and Washington (King County) claims have the highest ENR data density given their higher provider volumes.
Stop waiting on Regence BlueCross BlueShield.
Eligible claims are purchased and funded the next business day.