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Regence Provider Appeal 2023-2025 Form
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People also ask
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What is the timely filing limit for Regence Group Administrators appeal?
We must receive this Form within 180 calendar days of the initial adverse benefit determination date. Please be advised that failure to file a timely appeal will bar you from any further review of the initial adverse benefit determination under these procedures or in a court of law.
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What is the timely filing limit for Regence appeal?
When calling our Provider Contact Center at 1 (800) 253-0838, use the phone prompts below to access IVR: If your patient is a Regence member, press 1 and select: For questions regarding dental. For prescription pre-authorization questions.
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What is the timely filing limit for Regence Federal?
Timely claims filing Claims must be submitted within one year from the date of service.
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What is the timely filing limit for Blue Shield promise appeal?
Initial disputes must be submitted within 365 days, or the time specified in the provider's contract, whichever is greater, of Blue Shield's date of contest, denial, notice, or payment.
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How to file an appeal with Regence?
The Appeals application is accessed from Availity Essentials: Claims & Payments>Appeals. If you do not have access to the Appeals application, please contact your Availity Essentials administrator and request the Claim Status role. Appeals can be initiated from the Claim Status screen by selecting Dispute Claim.
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