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Provider Center

Provider Center (formerly known as Regence Online Services for Providers) is a free, secure Web-based tool that allows physicians, other health care professionals and facilities access to valuable information for most Regence members. This eliminates the need to call Customer Service for routine patient information.

Our online tool allows your office to:

• Search for providers
• Verify eligibility, including effective date of coverage
• Review and respond to member feedback about their experiences with you
• Search for and view payment vouchers by provider name, voucher number or check number for an entire payment or for an individual claim
• View copayments and the current deductible and coinsurance maximum amounts
• View general benefits, including office visit and major medical information, pre-existing conditions and waiting periods, if any
• Review the status of submitted claims (e.g., if the claim has been received, is in process or has been completed) and payment information
• Enhance your individual profile page, including philosophy of care, practice areas of expertise, appointment availability, awards and other distinctions and patient demographics

For patients on our medical products - Regence Innova^®, Engage^®, Activate^SM and HSA Healthplan 2.0^SM; or our dental products - Encore^SM, Radiance^SM and Expressions^SM, you can also:

• View all claims for your organization
• View specific benefit details, benefit summaries or a complete benefit booklet in a PDF format

For your BlueCard^® (out-of-area) patients, you can view eligibility and claims information.

How to Register

Becoming a User is Easy!

The system is available to providers and health care facilities who have a valid National Provider Identifier (NPI) and tax identification number.

Billing services: Please provide a copy of the signed business agreement between you and the provider in order to access patient information for that provider. After registering for a new account or updating existing account information please fax your business agreement to (877) 329-3342.

1. Registering your Organization

• Determine who in your office or organization will act as your site administrator
• Request access by registering your organization. This should only be completed once by the site administrator for your site, organization or office. Please contact your provider consultant if you are not sure whether or not your organization has already been registered.
• Your site administrator will be contacted within five business days to complete the set up of your account. (If you receive a message concerning your new OAID registration, please contact our support team within five business days in order to complete the registration process.)
• The site administrator will then receive an Organization Access ID (OAID) that will allow you to self-register for access.

2. Registering for User Access

• Your OAID allows new users to self-register. You cannot complete the self-registration process without your OAID.
• After you have completed the online registration form, the site administrator will receive an email reminder to approve the activation of your account. The site administrator may also provide verbal approval by contacting our support team at 1 (888) 427-0470.
• After the approval is complete, you will receive an email indicating that your account is active.
  If you have any problems or questions, please contact our Support Team at 1 (888) 427-0470.

Technical Requirements
Users need a computer with an Internet (cable or DSL recommended) connection speed of 56k or higher and an Internet browser with 128-bit encryption.

Hours of Availability

• Available Monday through Saturday, 6:30 a.m. to 8:00 p.m.
• Regence Innova, Engage, Activate and HSA Healthplan 2.0 and Encore, Radiance and Expressions: Available Monday through Saturday 24 hours a day.
• Unavailable on Sunday for maintenance.

Site Administrators
Each office or organization with access is known as a "site." Each site must have an appointed site administrator. The site administrator will be responsible for monitoring all user access for your organization or office.

Site administrators allow new users access to their organization information by providing them with the OAID and self-registration instructions. Site administrators can request the following changes to their organization's account:

• Site administrator change (new site administrator or change to contact information)
• Office change (new office manager, office address, phone or email change)
• User delete (new users may self-register online using your OAID)
• NOTE: The Information Update Form is only for updating your Provider Center account information. You can update your Enhanced Provider Profile once you are logged in to the Provider Center.

Remember to have new physicians or other health care professionals joining your practice register for new-user access. Registered users can:

• Perform routine claims, benefit and eligibility inquiries quickly and easily
• Create a personalized online space to share information about their practice by updating their Enhanced Provider Profile

Our Support Team

• Most screens feature clearly labeled buttons to help you navigate
• Help section provides additional information
• Our Provider Center Support team is available to answer your questions:
  • Phone: 1 (888) 427-0470, Monday through Friday, 7 a.m. to 5 p.m.

Customer Service is available to assist you with registration and viewing claim status information. Your provider consultant is available to train your office and to assist with problems, questions or suggestions.

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