Regence Blue Cross Blue Shield
Oregon/Idaho/Utah/Washington • PPO, POS, Traditional Indemnity
Verified Aug 2026 · source
Depends on the product
Other departments
Depends on the region
Verified Aug 2026 · source
Depends on the plan type
Depends on the region
Depends on your network status
Usually you do not send the claim to Regence Blue Cross Blue Shield. Under the BlueCard program, a provider treating a member from another Blue plan submits the claim to their own local Blue Cross Blue Shield plan, which then routes it to Regence Blue Cross Blue Shield for processing.
Arrangements vary by contract, and self-funded (ASO) accounts can differ — confirm with your local Blue plan before filing. See the BlueCard Program Provider Manual for the full rules.
Under this PPO prefix, members are covered for both in-network and out-of-network care. The plan pays a higher percentage of allowed charges when members use participating providers. No gatekeeper or primary care referral is required. Verify the member's specific benefits for cost-sharing details.
This prefix is linked to a POS plan. Point of Service coverage gives members a choice at the time of service: use the HMO-style in-network benefit with a referral for lower costs, or access out-of-network providers at reduced coverage levels. The billing approach depends on which option the member chooses.
Traditional indemnity coverage means the member has fee-for-service insurance with no network limitations. Any licensed provider can be seen without referrals. Claims are reimbursed based on usual, customary, and reasonable (UCR) charges. The member typically pays a deductible and a percentage of allowed charges.
Regence Group Administrators providing plans across Oregon, Idaho, Utah and Washington regions with commercial, Medicare and Medicaid options.