Regence BCBS – commercial

Changes effective February 1, 2023

Reimbursement Policies

Administrative

• Timely Receipt of Records (#145)

 o New reimbursement policy stating the following about requested records:

• Must be received for a claim to be processed

• Should be returned by the requested date or within 10 days

• Should be submitted using the method in which the request was sent (e.g., Availity Essentials, fax, etc.)

• Failure to provide within 45 days will result in member notification for the sake of transparency

• Failure to provide within 90 days will result in claims denial