Filing Claims

Coding

Code claims the same way you code your other Regence claims.

Claims submission

You should always submit claims electronically with other Regence claims.

You can also send paper claims to: 

Regence BCBSO
P.O. Box 30805
Salt Lake City, UT 84130-0805

Important Reminders

• Do not send duplicate claims.
• Do include the complete member number and alpha prefix when you submit the claim.
• Please include the newborn’s name, if known, when submitting a claim. Including only "baby girl" or "baby boy" can delay claims processing.
• Do not add or delete any alpha/numeric characters to or from the member number. Claims with incorrect or missing alpha prefixes and member numbers delay claims processing.

International claims

The claim submission process for international Blue Plan claims is the same as domestic Blue Plan claims. You should submit the claim directly to Regence.

Exceptions to BlueCard claims submissions

Submit claims directly to the member’s Blue Plan instead of Regence when:

• You contract with the member’s Blue Plan.
• The member card doesn’t include an alpha prefix.
• The claims are excluded from BlueCard (i.e., stand-alone dental).
• Learn more about submitting claims when you practice in bordering or shared counties.
• You submit laboratory, durable medical equipment (DME) or specialty pharmacy claims.
• The member has Federal Employee Program (FEP) coverage (please follow FEP guidelines).
• The claim is for air ambulance.  Air ambulance claims should be submitted to the local Blue Plan based on the location of the provider who is submitting the claim. Although medical transport may happen across multiple Blue Plan service areas, neither the pick-up location nor the drop-off location is used to determine where the claim is filed.

When in doubt, please submit the claim to Regence.