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Use this form to register your NPI with Regence

Use this form to register your NPI with Regence 2025

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The document is an Asuris National Provider Identifier (NPI) Type 2 Registration Form, intended for organizations to register their entity-level NPI with Asuris. It includes sections for providing organizational details, contact information, descriptions of services, and current provider numbers or Tax Identification Numbers (TIN) for each subpart. Instructions for submission via mail or fax are also provided.

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How do I contact Regence Bluecross Blueshield of Oregon?

You can remain anonymous. 24/7 anonymous hotline: 1 (800) 323-1693. Medicare Part C D: 1 (800) 633-4227. Online reporting form. Contact us - Regence regence.com contact-us regence.com contact-us

What is the phone number for Regence Blue Shield of Idaho prior authorization?

To verify coverage or benefits or determine pre-certification or pre-authorization requirements for a particular member, call 1-800-676-BLUE or send an electronic inquiry through your established connection with your local Blue Plan. Use the Electronic Provider Access (EPA) tool available in the Availity Portal.

What is the claims address for Regence of WA?

You can also submit claims via mail to our claims address P.O. Box 52890 Bellevue WA 98015 or fax at 1-866-458-5488.

What is the payer ID for Regence Group Administrators?

Payer List Payer NamePayer IDServices Regal Medical Group REGAL UB04 1500 Regence Group Administrators RGA01 UB04 1500 ERA Eligibility Regency Employee Benefits 38221 UB04 1500 Regional Care Inc 47076 UB04 1500 ERA94 more rows Payer List - Claim.MD claim.md payerlist claim.md payerlist

What is the fax number for Regence Group Administrators prior authorization?

Fax: Regence Group Administrators, Attn: Appeals 855-462-8875. Regence Group Administrators regence.com provider products rga regence.com provider products rga

What is an RGA plan?

Regence Group Administrators (RGA) is a wholly owned subsidiary of Regence that provides third-party administrative services to self-funded employer groups primarily located in Oregon and Washington. RGAs self-funded employer group members may utilize our Participating and Preferred medical and dental networks.

Use this form to register your NPI with Regence 2025

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