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CMS 1500 claim form requirements To complete this form, follow the instructions below. Each field on the form has a corresponding number. Claims submitted with missing or invalid required fields may.

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Submitting claims to RGA Mail: Regence Group Administrators, P.O. Box 52890, Bellevue, WA 98015-2890. The claim should include the prefix and the subscriber number listed on the member's ID card. Do not submit RGA claims to Regence.

Regence Blue Shield Health Plan of Washington (aka Regence) is part of the Health Solutions family of companies. Regence BlueShield offers health and dental coverage to over 1 million members in select counties in Washington State. Regence offers ACA/Obamacare individual/family plans and small group plans.

Regence has been serving the Pacific Northwest/Mountain Region since 1917. With 3 million members, Regence reaches nearly 1,000 communities across Washington, Oregon, Idaho and Utah, making it the largest affiliation of health care plans in the Pacific Northwest/Mountain Region.

1 (888) 675-6570.

Grievances must be filed within 60 days of the event or incident. You may send a complaint to us in writing or by calling Customer Service.

If that individual is not identified, appeals may be faxed to 763-847-4010.

Members or their authorized representatives may file an appeal up to 60 calendar days after the date of a denial. Medicaid:Appeals must be received within 90 days from the date on Notice of Action or EOB. Neurobehavioral HOME: Appeals must be received within 30 days from the date on the Notice of Action or EOB.

Request a Payor Payor IDPayor NameCB850Blue Cross Blue Shield of Oregon (Regence)CB850Blue Cross Blue Shield of Oregon (Regence)-FEPCB850Blue Cross Blue Shield of Oregon- FEPCB850Blue Cross Blue Shield of OR-FEP8 more rows

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232