Healthcare providers seeking efficient claims management and streamlined communication have a powerful tool at their disposal: the Regence Group Administrators (RGA) Provider Portal. This digital platform offers healthcare professionals a comprehensive solution for managing patient interactions, claims, and administrative processes.
Official Links
- Washington Provider Portal: https://wa.accessrga.com/for-providers
- Oregon Provider Portal: https://or.accessrga.com/
What Providers Can Do in the Portal
The RGA Provider Portal provides multiple critical functionalities for healthcare professionals:
Key Portal Features
- Submit electronic claims
- View Explanation of Payment (EOP)
- Check member claims and coverage
- Submit preauthorization requests
- Securely ask questions about claims
Electronic Data Interchange (EDI) Transactions
RGA supports several critical EDI transactions:
- 270/271 – Eligibility inquiry and response
- 276/277 – Claim status and response
- 278 – Referral certification and authorization
- 834 – Enrollment
- 835 – Payment and remittance advice
- 837 – Claims and encounters (Professional, Dental, and Institutional)
How to Access the Portal
Login Process
- Navigate to the RGA Provider Portal
- Click on the “RGA Member Login”
- Enter your login credentials
- If not registered, click “Not Registered” to set up an account
Claims Submission Options
Electronic Claims
- Use Availity clearinghouse
- Payer ID: RGA01
Alternative Submission Methods
- Mail: PO Box 52890, Bellevue WA 98015-2890
- Fax: 1-866-458-5488
Preauthorization Requests
To determine if a service requires preauthorization:
- Provide a detailed service description
- Contact Customer Care at 1-866-738-3924
Provider Support
Customer Care Details
- Phone: 1-866-738-3924
- Hours: Monday-Friday, 5:00 AM – 6:00 PM PT
EDI Support
- Email: [email protected]
Holiday Schedule
RGA observes standard holidays, with Customer Care lines reopening at 5 AM PT the following business day. Holidays include:
- New Year’s
- Martin Luther King Jr. Day
- President’s Day
- Memorial Day
- Juneteenth
- Independence Day
- Labor Day
- Thanksgiving
- Day After Thanksgiving
- Christmas Holiday
Privacy and Security
RGA is an Independent Licensee of the Blue Cross Blue Shield Association, committed to maintaining robust privacy and security standards for provider interactions.
Unprovided Information
While the portal offers extensive functionality, specific details about mobile app availability are not mentioned in the provided sources.
The Regence Group Administrators Provider Portal represents a robust, secure platform designed to simplify healthcare administration, offering providers efficient tools for claims management, communication, and patient care coordination.
Contact Information
- Provider Support: 1-866-738-3924
- EDI Inquiries: [email protected]
FAQ
Are Regence group administrators the same as Regence?Regence Group Administrators (RGA) and Regence Group Administrators of Idaho, Inc. (RGA-ID) are wholly owned subsidiaries of Regence that provide third-party administrative services to self-funded employer groups primarily in Idaho, Oregon, Utah and Washington.
Are Regence and Blue Shield the same?Regence is the name given to Blue Cross and Blue Shield plans in four northwestern states.
What is the payer ID for Regence Group Administrators?
| Payer Name | Payer ID | ERAs |
|---|---|---|
| REGENCE GROUP ADMINISTRATORS | RGA01 | Yes |
| REGENCY EMPLOYEE FENEFITS MI | 38221 | |
| REHAB CENTER OF BEVERLY HILLS (WC) | 41556 | Yes |
| RELIANCE COMMUNITY CARE PARTNERS | 79846 | Yes |
Is RGA BlueCross BlueShield?
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Regencehttps://www.regence.comRegence Group AdministratorsBlue Cross and Blue Shield Federal Employees Program (FEP) (RGA-ID) are wholly owned subsidiaries of Regence that provide third-party administrative services to…
https://wa.accessrga.com/for-providers
Manage member claims, view EOPs, submit preauthorization requests, and access FAQs securely. Essential resources for healthcare providers.
https://or.accessrga.com/
Everything all in one place with RGA. Create your member portal account to easily manage your healthcare benefits. Access your member ID card or find in-network