Healthcare providers seeking efficient and comprehensive management of patient information and claims can now leverage the Regence Blue Cross Blue Shield Provider Portal. This powerful online platform offers streamlined access to critical healthcare administrative functions, designed to simplify provider workflows and enhance patient care coordination.
Official Links
What Healthcare Providers Can Do
The Availity Essentials platform provides an extensive range of services for healthcare professionals, including:
- Verify member eligibility and benefits
- Submit claims electronically
- Check claims status
- View electronic remittance advice (ERA)
- Submit medical pre-authorization requests
- Access reimbursement schedules
- Enroll for electronic funds transfer (EFT)
- Submit and track appeals
- Obtain patient cost estimates
Access and Registration
Who Can Use the Portal
- Contracted healthcare providers
- Medical professionals
- Dental providers (with specific instructions)
Login Process
- Visit the Availity Essentials portal
- Click “Sign In”
- For new users: Select “Don’t have an account? Register”
Billing Service Registration
Two primary registration methods are available:
-
Provider-led registration (recommended)
- Provider registers with Availity
- Assign Primary Access Administrator
- Billing service adds staff users
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Billing service registration
- Billing service registers for provider(s)
- Requires provider agreement signature
Key Features
Payer Spaces
Includes specialized Regence applications:
- Care Gap Management Application
- Medicare Quality Incentive Program information
- Onboarding Tracker
- Provider Organization Reports
Resources
- Out-of-network Referral Request
- Peer-to-Peer Request Form
- Pharmacy Integration
- Provider Search
- Procedure Code Edit Research
Privacy and Security
While specific security details are not explicitly outlined, the portal emphasizes secure access and requires proper authentication for healthcare professionals.
Customer Support
Technical Support Options:
- Phone: 1 (800) 282-4548
- Online Support:
- eTicket submission
- Online chat
- Availity Essentials Help & Training section
Supported Regions
Regence health plans serve members in:
- Idaho
- Oregon
- Utah
- Select counties of Washington
Important Considerations
Dental Providers
Dental professionals are directed to visit regencedental.com for specific online services.
Unprovided Information
Some details not explicitly specified in the source documents include:
- Detailed security protocols
- Specific data encryption methods
- Comprehensive mobile app availability
- Exact registration processing times
The Regence Blue Cross Blue Shield Provider Portal through Availity Essentials offers healthcare professionals a comprehensive, secure platform for managing patient-related administrative tasks efficiently.
Disclaimer
Availity is a separate and independent company providing secure access to eligibility, benefits, and claims-related information for Regence members.
© 2025 Regence Health Plans – Independent Licensees of the Blue Cross and Blue Shield Association
FAQ
Are Regence and BlueCross BlueShield the same?Blue Cross Blue Shield (BCBS) is a widely recognized insurance provider in the United States. In our region, it’s administered through two key subsidiaries: Regence and Premera.
Is Regence Group Administrators BCBS?
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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…
Does Regence Blue Shield have an app?With the Regence app in your pocket, you can track your costs, find a provider and pull up your member ID card from anywhere. Download it on the App Store or Google Play.
Who is the PBM for Regence BCBS of Washington?Prime Therapeutics (Prime) is our pharmacy benefits manager (PBM) for our group, Individual and Medicare members.
https://www.regence.com/provider/secure-portal
Access eligibility, benefits and claims-related information for most members. Submit pre-authorization requests, view reimbursement schedules and more.
https://www.regence.com/provider/self-service-tool
Our provider Self-Service Tool helps you get the most out of partnering with us. See helpful answers to frequently asked questions and quickly navigate our