| Regence BlueCross BlueShield of Oregon contracts with physicians, other health care professionals and facilities to form provider networks essential for delivery of health-care services to our members. All physicians and other health care professionals must be credentialed before they can participate in Regence provider networks. View a list of providers with whom we contract. Learn more about Regence Provider Agreements (PDF) and the benefits of participation.
Your provider relations representative can give you detailed information about credentialing and contracting.
Contracting and Cedentialing Forms
| Provider |
Criteria |
Application |
| Practitioners |
Practitioner
credentialing criteria (PDF) (effective 11/1/2007)
Practitioner
credentialing criteria (PDF) (effective 1/1/2009)
|
Oregon Practitioner Credentialing Application (MS Word format)
Fax completed applications to our Credentialing Department at
(503) 225-4808, or mail it to Credentialing, Regence BCBSO, PO Box 1271 MS E9B, Portland, Oregon 97207-1271. |
Organizations
Eligible organizational providers include:
- Ambulatory Surgery Centers
- Hospital Medical Centers
- Home Health Agencies
- Hospice Care Centers
- Skilled Nursing Facilities
- Behavioral Health Care Organizations, including those that provide mental health, chemical dependency, alcohol and drug rehabilitation services.
|
Organization
credentialing criteria (PDF) (effective 11/1/2007)
Organization
credentialing criteria (PDF) (effective 1/1/2009)
|
Request an Organizational Provider
Application from your Provider
Relations Representative. |
| Facilities |
|
Universal
Facility Application (PDF)
Mail completed applications to our Credentialing Department at P.O. Box 21267, Mail Stop S555, Seattle WA 98111-3267 |
Credentialing Policy
The following policy applies to all participating providers:
- New provider agreements will have an effective date of the first day of the month in which the provider was credentialed (e.g., if credentialing was approved on June 14, the agreement will be effective on June 1).
- If Regence does not receive a signed agreement in the same month as credentialing is completed, the agreement effective date will be the first of the month in which credentialing is approved or the signed agreement is received, whichever is later.
- A new provider joining a group or clinic agreement will have an effective date of the first day of the month in which he or she was credentialed (e.g., if credentialing was approved on June 14, the effective date of participation will be June 1).
- If a provider already participating with Regence adds an additional network, the effective date of the new network will be the first day of the month the signed agreement is received.
- Regence will no longer establish retroactive agreement effective dates.
- Claims submitted to Regence for dates of service prior to the provider’s effective date will be processed as out-of-network.
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