Physicians, dentists, other health care and dental professionals and facilities must first complete a credentialing application before they can participate in Regence provider networks. Prior to submitting a credentialing application, please review the list of Provider Types to determine if we contract with your specialty and if the network is open to participation. You may also sign up for eContracting, which allows you to receive notification of provider agreements and amendments through the convenience of your personal email. Learn more about eContracting and sign up.

Credentialing applications are usually processed within 45 days of receipt. During peak application periods (usually spring and summer) this processing time may increase. Please ensure that applications are completed in their entirety, are signed and all supporting documentation included as incomplete applications will delay processing time.

Participating Effective Date Policy

The following policy applies to all participating providers:

• New provider agreements will have an effective date of the first day of the month in which the credentialing was approved (e.g., if credentialing was approved on June 14, the agreement will be effective on June 1).
• If a signed agreement is not received in the same month as the credentialing is completed, the agreement effective date will be the first of the month in which credentialing is approved or the signed agreement is received, whichever is later.
• A new provider joining a group or clinic agreement will have an effective date of the first day of the month in which he or she was credentialed (e.g., if credentialing was approved on June 14, the effective date of participation will be June 1).
• If a provider already participating with us adds an additional network, the effective date of the new network will be the first day of the month the signed agreement is received.
• Retroactive agreement effective dates are not permitted.
• Claims submitted for dates of service prior to the agreement effective date will be processed as out-of-network.

Contracting and credentialing Forms

Indian or Tribal Health Clinic credentialing requirements

We require that all Indian or Tribal Health providers complete the credentialing process prior to contracting. These providers are required to complete the recredentialing process at a minimum of every three years.