INSURER FILING GUIDE
Regence BlueShield (Washington)
Use this public information to prepare your packet, then confirm the route on the insurer's own page.
AT A GLANCE
Claim facts
| Member form | Online member claim form Number: Not published by the insurer Revision: Not published by the insurer Open the insurer form |
|---|---|
| Portal upload | YES |
| Portal path | Go to member claims at regence.com or in the Regence app > submit a claim for reimbursement; authenticated controls are UNREADABLE |
| Mail address | Not published by the insurer |
| Fax | Not published by the insurer |
| Attachments | Itemized description of services and charges; treatment date; diagnosis; patient name; policyholder ID; for injury, date, time, place, circumstances, and involved parties; proof of payment when requesting member reimbursement |
| Deadline | One year after date of service |
| Outcome and status | Regence member account or Regence app > Claims |
| Processing time | 30 days after receipt with a possible 15-day extension; at least 45 days when information is requested |
| Caveats | Cited evidence is a Washington individual policy. HMO or EPO ordinary out-of-network benefits may be absent; UMP, RGA, FEP, Medicare, and Medicaid routes are excluded |
STEP BY STEP
Filing steps
Source: https://www.regence.com/member/claims/
Read date: 10-09-2026
Research steps
- Confirm that the plan has ordinary out-of-network benefits. The cited source is a Washington individual policy; employer and self-funded terms may differ. https://apis.regence.com/v1/publicdocuments/sales/individual/productId/WMW30501/docType/OM/pdf?brand=blu
- Go to member claims at regence.com or in the Regence app and submit a claim for reimbursement. https://www.regence.com/member/understanding-health-insurance/member-faq
- Complete the authenticated on-screen claim form and provide an itemized description of services and charges, treatment date, diagnosis, patient name, and policyholder ID. Include injury facts when applicable and proof of payment when requesting reimbursement to the member. https://apis.regence.com/v1/publicdocuments/sales/individual/productId/WMW30501/docType/OM/pdf?brand=blu
- Submit within one year after the date of service. The policy permits direct provider payment or payment solely to the insured when sufficient proof shows the bill was paid in full. https://apis.regence.com/v1/publicdocuments/sales/individual/productId/WMW30501/docType/OM/pdf?brand=blu
- Check Claims in the member account or app. The cited policy provides 30 days for action, with a possible 15-day extension, and at least 45 days when additional information is requested. https://apis.regence.com/v1/publicdocuments/sales/individual/productId/WMW30501/docType/OM/pdf?brand=blu
- UNREADABLE: the authenticated field sequence, file types, size, maximum files, packaging, confirmation, and signature controls. NOT PUBLISHED: CMS-1500 treatment or a separate psychotherapy route. https://www.regence.com/member/claims/
Filing facts
- Portal upload: YES
- Portal: Regence member account or Regence app
- Portal path: Go to member claims at regence.com or in the Regence app > submit a claim for reimbursement; authenticated controls are UNREADABLE
- Mail address: NOT PUBLISHED
- Fax: NOT PUBLISHED
- Attach: Itemized description of services and charges; treatment date; diagnosis; patient name; policyholder ID; for injury, date, time, place, circumstances, and involved parties; proof of payment when requesting member reimbursement
- File types: NOT PUBLISHED
- File size limit: NOT PUBLISHED
- Maximum files: NOT PUBLISHED
- One file or separate files: NOT PUBLISHED
- Confirmation: NOT PUBLISHED
- Status check: Regence member account or Regence app > Claims
- Processing time: 30 days after receipt with a possible 15-day extension; at least 45 days when information is requested
- Member deadline: One year after date of service
- Deadline basis: YES: employer, self-funded, and other product documents may differ
- Mental health route: NOT PUBLISHED: no separate outpatient psychotherapy member filing route found
Confirm the address, fax number or portal path on the insurer's own claims page before you send; read on 10-09-2026.
Read on 10-09-2026 from https://www.regence.com/member/claims/;https://www.regence.com/member/understanding-health-insurance/member-faq. Confirm the address, fax number or portal path on the insurer's own claims page before you send.