Regence preauthorization 2026

1. Click ‘Get Form’ to open the regence preauthorization request form in the editor.
2. Begin by verifying if pre-authorization is required for the service. Check 'Yes' or 'No' and ensure you have confirmed the patient's benefits.
3. Fill out Section 1 with patient information, including their name, phone number, and Regence Member ID Number.
4. In Section 2, provide your provider information. Indicate whether you are the requesting provider or rendering provider, and include necessary details such as NPI and contact information.
5. Proceed to Section 3 to specify the type of preauthorization request. Select whether it is a Pre-Service or Concurrent Review and provide details about the date of service and facility information.
6. Attach any required clinical documentation that supports medical necessity for the request, such as history & physical reports or lab results.

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