Regence Group Administrators (RGA) and Regence Group Administrators of Idaho, Inc. (RGA-ID), coming January 1, 2025, are wholly owned subsidiaries of Regence that provide third-party administrative services to self-funded employer groups primarily in Idaho, Oregon, Utah and Washington.

RGA's and RGA-ID’s self-funded employer group members may utilize our medical and dental networks.

RGA medical provider networks

• Regence BlueShield of Idaho: Preferred
• Regence BCBSO: Preferred
• Regence BCBSU: Preferred ValueCare and coming January 1, 2025, Preferred Blue Option and Focal Point
• Regence BlueShield: Preferred

RGA-ID medical provider networks (coming January 1, 2025)

• Regence BlueShield of Idaho: Preferred
• Regence BCBSO: Preferred
• Regence BCBSU: Preferred
• Regence BlueShield: Preferred

Members may live in or travel to our service area and seek services from you. These medical products use BlueCard® nationwide and the Regence Participating and Preferred networks.

Obtain this information by the Provider Services Portals:

• RGA in Oregon and Utah
• RGA in Washington
• RGA in Idaho

Contacting Customer Service:

• RGA in Oregon, Utah and Washington: 1 (866) 738-3924

• RGA in Idaho: 1 (833) 670-0899

Notes:

• Access member information via Availity Essentials.
  • Select "Regence Group Administrators" to submit eligibility and claim status inquires.
  • Availity Payer ID:
    • Use RGA01 when submitting 270 and 276 transactions to Availity

• Please contact RGA or RGA-ID to obtain pre-authorization information for RGA or RGA-ID members. RGA and RGA-ID employer group's pre-authorization requirements differ from Regence's requirements. Self-funded plans typically have more stringent authorization requirements than those for fully-insured health plans

Submit claims electronically or via paper.

• Electronically: Submit claims directly to Availity with Payer Identification Code ID RGA01.
• Mail:
  • RGA in Oregon, Utah and Washington: P.O. Box 52890, Bellevue, WA 98015-2890.
  • RGA in Idaho: P.O. Box 85001, Bellevue, WA 98015-5001
• The claim should include the prefix and the subscriber number listed on the member's ID card.

• Do not submit RGA or RGA-ID claims to Regence. RGA and RGA-ID claims that are submitted incorrectly to Regence will be returned with instructions to resubmit to the correct payer.

Vouchers and reimbursement checks will be sent by RGA or RGA-ID. Claims information and vouchers for your RGA or RGA-ID patients are available on the Availity.

Provider vouchers and member Explanation of Benefits (EOBs) will include a message code and description. As indicated in your provider agreement with Regence, you will need to hold the member harmless (write-off) the amount indicated on the voucher when these message codes appear.

We generate weekly remittance advices to our participating providers for claims that have been processed. Benefits are not assignable; you will receive direct payment even if your patient signs an assignment authorization. Corresponding to the claims listed on your remittance advice, each member receives an EOB notice outlining balances for which they are responsible.

View or download your remittance advices in Availity: Claims & Payments>Remittance Viewer or by enrolling to receive ANSI 835 electronic remittance advices (835 ERA) on Availity: My Providers>Enrollments Center>Transaction Enrollment.

Remittance advices contain information on how we processed your claims. A single payment may be generated to clinics with separate remittance advices for each provider within the practice.

Remittance advices include:

• Line by line breakdowns
• Specific error messages
• Boxes around the headers for each amount

• Codes billed by line item and then, if applicable, the code(s) bundled into them

Claims for your patients are reported on a payment voucher and generated weekly. They are sorted by clinic, then alphabetically by provider. Each claims section is sorted by product, then claim type (original or adjusted). Within each section, claims are sorted by network, patient name and claim number. The main pages include original claims followed by adjusted claims that do not have an amount to be recovered.

View our message codes for additional information about how we processed a claim

Initial provider disputes and appeals can be submitted by mail or fax:

• Mail:
  • RGA in Oregon, Utah and Washington: Attn: Appeals, P.O. Box 52730, Bellevue, WA 98015-2730.
  • RGA in Idaho: Attn: Appeals, P.O. Box 85001, Bellevue, WA 98015-5001
• Fax: Attn: Appeals 1 (855) 462-8875
• For inquiries regarding status of an appeal, providers can email.

Customer Service:

• RGA in Oregon, Utah and Washington: 1 (866) 738-3924
• RGA in Idaho: 1 (833) 670-0899

Provider Services Portals:

• RGA in Oregon and Utah
• RGA in Washington
• RGA in Idaho