Joint administration

Joint administration describes a partnership between Regence and an administrator or a third-party administrator (TPA).

Through these arrangements, Regence:

• Builds and maintains our medical provider network
• Prices medical claims based on our reimbursement rates
• Develops and maintains our pre-authorization list and medical and reimbursement policies
• Supports providers through our Provider Contact Center and Provider Relations teams

• Sends payment to providers

The administrator or TPA:

• Is a self-funded group or contracts with employer groups
• Calculates the members' benefits
• Receives pre-authorization requests from providers
• Supports members through the administrator’s or TPA's medical management program (groups may also have access to our programs)
• Supports members through the administrator’s or TPA's customer service team

• Sends payment to members, if applicable

Regence has partnered with:

• AmeriBen to serve the following employer groups:
  • Alpha Media Alsco Inc.
  • Alsco Inc.
  • Avalon Health Care Inc.
  • CHG Healthcare Services
  • CTI Foods
  • J-U-B Engineers Inc.
  • The Terteling Company Inc. (Effective January 1, 2025)
• MagnaCare administers IAFF Health and Wellness Trust (IAFF HWT) (formerly Northwest Fire Fighters Benefits Trust).
• Zenith American Solutions, a TPA, to serve the following health trusts:
  • U.A. Local Union 290 Plumber, Steamfitter & Shipfitter Health Trust (U.A. Local Union 290)
  • UFCW Local 555-Employers Health Trust