We want to make it easy for you to do business with us. This means providing you with online resources and options that can help you save time, money and paper and streamline your administrative processes.
Electronic Data Interchange (EDI) transactions
The fastest way to conduct business with Regence throughout the entire claims process is via EDI—the computer-to-computer transmission of standardized information. EDI transactions are often identified using the numbers assigned by the American National Standards Institute (ANSI). In addition to the ANSI transactions we currently accept (listed in the table below) we also offer the following paperless options:
- Claim attachments - Eliminate lost documents and reduce the number of requests sent for the same information.
- Electronic funds transfer (EFT) - Receive payment faster. Sign up to receive claim payments deposited directly into your bank account.
If you are not submitting claims and attachments electronically and receiving payments and vouchers electronically, we strongly urge you to consider doing so.
View our Electronic Transactions flyer (PDF).
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Effective August 1, Regence will no longer print and mail Claim Vouchers. After August 1, Claim Vouchers can be received via one of the following options:
- The Provider Center, our free, secure online tool
- American National Standards Institute (ANSI) 835 Electronic Remittance Advice (ERA), the standard HIPAA remittance advice
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Submitting claims electronically
Electronic claims may be submitted through many types of practice management software systems or via Internet file transfer protocol (FTP). You can also enroll with the billing service or claims clearinghouse of your choice.
Claims transaction options:
- Batch transactions: Larger offices submitting batch transactions may use our electronic claims partner, Availity®, LLC (Availity)
- Non-batch transactions: Smaller practices may prefer to use Office Ally to submit electronic claims.
Regence currently accepts the following ANSI v5010 transactions:
| Type |
Description |
Enrollment information |
270/271 |
Eligibility Request and Response |
Contact Availity to enroll |
276/277 |
Claims Status Inquiry and Response |
Contact Availity to enroll |
277CA |
Health Care Claim Status Acknowledgement |
Enrollment is automatic, no action required |
278 |
Referrals, Pre-certifications and Pre-authorization Inquiry and Response |
Contact Availity to enroll |
835 |
Remittance Advice (View the list of recent enhancements) |
Contact:
|
837 |
Health Care Claim
- Dental
- Institutional
- Professional
|
Contact:
|
999 |
Implementation Acknowledgement for Health Care Insurance |
No enrollment needed, submitters will receive this transaction automatically |
TA1 |
Interchange Acknowledgement |
No enrollment needed, submitters will receive this transaction automatically |
Note: Availity supports business-to-business (B2B) integration for eligibility and benefit inquiry transactions. Contact your practice management system vendor and ask if they support B2B transactions with Availity for Regence, or view the Availity technology partners list (PDF).
Paper use is costly, inefficient and prone to errors. Let's work together to address the dollars that can be saved today through simple steps like electronic claim submissions, payments and remittances. Sign up today! |
