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Blue Cross Blue Shield · Portland, Oregon
Facility Credentialing & Network Participation
Regence BlueCross BlueShield serves over 2.4 million members across four western states. Part of Cambia Health Solutions, Regence focuses on transforming health care with innovative solutions and comprehensive coverage.
Regence BlueCross BlueShield payer facts
Market context
Strong regional presence with significant market share in Oregon and Utah, competing with other major carriers across the Pacific Northwest.
Payer guide
Regence provides comprehensive behavioral health benefits with emphasis on access, integration, and evidence-based treatment across their four-state service area. They contract with facilities to form networks essential for delivering behavioral health services.
Behavioral Health Manager
Direct management with partnerships including Boulder Care for MAT, AbleTo, Talkspace, Doctor On Demand, and MDLIVE
All treatment settings accepted by Regence
What sets Regence apart
Required credentials for network participation
Prior Authorization
Medical Necessity Criteria
InterQual Behavioral Health Criteria and MCG guidelines for medical necessity determinations
Payment and billing information
Coverage area
4 states nationwide
Corporate Headquarters
Portland, Oregon
Continue learning
Provider guide
Learn what insurance credentialing is, why it matters, and how to navigate the process to get in-network.
Read moreProvider guide
A practical step-by-step guide for healthcare providers who want to join insurance panels.
Read moreProvider guide
Navigate behavioral health carve-outs and credentialing requirements for major payers.
Read moreProvider guide
Learn how payer contracts work and how to negotiate better reimbursement rates.
Read moreExpert contracting support
Our team specializes in Regence BlueCross BlueShield contracting for behavioral health facilities. We'll help you secure competitive rates and streamline your credentialing process.
Achieve significantly better reimbursement through expert negotiation
Reduce credentialing timeline from months to weeks
CAQH, state licensing, and accreditation guidance
Your personal contracting specialist throughout the process