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 our credentialing (PDF) process.

We routinely evaluate our networks for appropriate size and composition, including adequate access for members. Based upon a recent evaluation, the Preferred, Participating, Access and Regence MedAdvantage networks are currently closed to new behavioral health provider applicants, except for psychiatrists and psychiatric mental health nurse practitioners with prescriptive authority.

Provider relations representatives are available to give detailed information about contracting and credentialing:

• Behavioral health professionals
• Physicians and other medical professionals

Contracting and Credentialing Forms

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.