Patient’s Regence Member ID Number Group Number SECTION 2 - PROVIDER INFORMATION Please check one:Requesting ProviderRendering Provider Provider Name Tax ID Number SECTION 3 - PREAUTHORIZATION REQUEST Provider Address Name Phone Number (include ext) Fax Number Who should we contact if we require additional information?

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%PDF-1.6 %���� Collaborating with these health systems, Regence is shifting to a value-based care approach powered by interoperability, aiming for more coordinated care between members and their healthcare providers, officials attested in an announcement made last week.Regence serves approximately 3.1 million members through Regence BlueShield of Idaho, Regence BlueCross BlueShield of Oregon, Regence BlueCross BlueShield of Utah and Regence BlueShield (select counties in Washington). If your health plan's formulary guide indicates that you need a Prior Authorization for a specific drug, your physician must submit a prior authorization request …

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Your Tax Identification number (either an EIN or SSN) is used for billing purposes. Each health plan is a nonprofit independent licensee of the Blue Cross and Blue Shield Association.During one initiative last year, Regence and MultiCare Connected Care—the accountable care organization (ACO) that is a wholly owned subsidiary of MultiCare Health System, based in Tacoma, Wash.—teamed up on a Da Vinci Project use case based on HL7 FHIR as the standard for value-based care data exchange.This use case, centered around medication reconciliation—the process by which a patient’s medication history is verified to ensure there are no discrepancies when considering medication changes—enabled MultiCare to send proof that a patient’s medication history had been verified upon hospital discharge.

For your convenience, SilverScript members and non-members can visit the online document library to view and print plan information and specific plan forms. 1-866-235-5660 The current prior authorization process can be time-consuming for patients, providers and payers, and a costly administrative burden that potentially delays care. Need Help? Manage your pharmacy benefits with Prime Therapeutics. Provider Consultant Contact Form . Pointing out that the healthcare industry currently lacks standards for sharing this data between payers and providers, Regence is working with MultiCare Connected Care to implement a FHIR-based approach to share key information needed for member attribution in value-based arrangements. Regence BlueCross BlueShield of Oregon Address Change Request Form. “The more we are able to simplify provider workflows and lighten the administrative load, the more quickly we can accelerate successful value-based care programs for patients, providers and payers alike,” said Kristie Putnam, Regence’s vice president of provider partnership innovation.