What is a Uniform Medical Plan (UMP)? A contact lens exam is not included in the annual eye exam and eye health exam. Fill in this form (sign-in required) to give us information about your other coverage. As a member, you can register and sign in to view your claims and benefits information and get access to members-only tools. If you do not submit your claims through the Availity Provider Portal, follow this process to submit your claims to us electronically. Uniform Medical Plan ublic Employees Benefits Board (PEBB) – 10008217 . Uniform Medical Plan (UMP) is a self-insured health plan offered through the Washington State Health Care Authority’s (HCA) Public Employees Benefits Board (PEBB) Program and the School Employees Benefits Board (SEBB) Program.UMP is administered by Regence … Pre-authorization: Use our online tool to be routed to the home plan's requirements. PART 1: *Indicates required information. We provide Applied Behavioral Analysis (ABA) therapy benefit for Regence UMP members.Regence will cover ABA Therapy. Regence BlueShield Regence BlueShield serves select counties in the state of 1800 Ninth Avenue | Seattle, WA 98101 Washington and is an Independent Licensee of the Blue Cross and Blue Shield Association © 2020 Regence BlueShield What’s new at UMP (PEBB) for 2021 Overseas (Active Duty) TRICARE Active Duty Claims P.O. admission. Claims Department P.O. (Medical services). Prescription Drug Claim Form . The time limit for filing claims is one year from the date of service/purchase. Providers call 1-888-849-3682. Sound Generations helps individuals understand the basics of Medicare, long-term care and related insurance, plan for retirement, process medical billings, claims and appeals and understand health care reform. Preventive care list Check this list to see which preventive services are covered, for whom and how often they are recommended. Your account at www.regence.com. an informed decision. The remainder goes to Regence, which on behalf of the state pays the rest, or however much the state Uniform Medical Plan allows. Uniform Medical Plan (UMP) is a collection of high-quality, self-insured preferred provider organization (PPO) health plans and accountable care plans offered through Washington State’s School … Provider Contact Center staff will also verify that the TIN you entered corresponds to the member you are calling about. This includes all applicable professional and facility claims: • Effective April 1, 2019, for professional services • Effective May 1, 2019, for facility services These requirements apply to all Regence plans (group, Individual, Uniform Medical Plan [UMP], Learn about submitting BlueCard claims. Claims mailing address. Access most member eligibility, benefits and claims information online using the Availity Portal. The Puget Sound High Value Network (PSHVN) is a network comprised of the highest quality health care organizations. Sign the completed form where indicated at the bottom of this page and submit the completed claim form to: Regence BlueShield Attn: UMP Claims PO Box 1106 Lewiston, ID 83501-1106 or by fax to: 1 (877) 357-3418 Payments will be mailed to the address on file for the subscriber. Fax: 800‐207‐8235, ATTN: Rx Claims Department . Learn more about when, and how, to submit claim attachments. Your evidence must support that you followed Regence policy. Use the electronic authorization tool to determine whether pre-authorization is required and submit requests online. Provider claims. The Plus plan networks are smaller, as each consists of regional providers spread throughout western Washington. UMP is administered by Regence BlueShield and Washington State Rx Services. 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