| Provider Services
Provider Services staff are the main points of contact
for physicians, other health care professionals
and facilities. Members please
contact Customer
Service with questions. Behavioral health and dental providers please contact staff assigned to your
specialty.
| Provider
relations representatives |
| Provider relations
representatives are the main points of contact
for billing, coding, contract terms and demographic
information changes. Contact your provider relations representative for:
- Questions on contract terms
- Explanation of specific medical, administrative
or reimbursement policies
- General information
regarding billing and coding methods
- Requests for Regence BlueCross BlueShield
of Oregon participating and preferred agreements
- Provider information changes (e.g., address,
tax identification changes or National Provider
Identifier [NPI])
- Quality of service issues
- Inquiries that cannot be resolved through
Provider Customer Service
|
| Provider
consultants |
| Provider consultants resolve global issues
through communication with clinics and physician
offices. The provider consultants are the primary
external contact, building relationships and implementing
strategic initiatives. Contact your provider consultant
for:
- New office orientations
- Strategic initiatives
- Operational interface between organized groups
and the health plan
- Office visits requested for problem solving
- Resolution of global issues (e.g., policies,
medical review)
- Office manager forum participation
- Electronic tools, including information and
training on Provider Center
- Facilitates workshops
| Locate and contact
your provider consultant |
Contact information
for bordering states is available on
the Provider Web sites:
|
|
| Provider
Communications
|
| Provider Communications produces written provider communications including newsletters, bulletins and manuals. This department also develops and maintains content on the Provider Web Site. Contact us with comments and suggestions relating to this Web site, online workshops or communications. |
| Provider
Services Executives |
Alison Goldwater,
Vice President, Provider Services
Vicki
Federico, Assistant Director, Provider
Services
Carol
Cleveland, Supervisor of Provider Services
|
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