Regence BCBS – commercial
November 5, 2022Changes 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