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Contracting and Credentialing

Regence BlueShield evaluates all networks on a quarterly basis to ensure that members have access to an adequate number of providers. Based upon that review, an entire network or specific provider types may be 'closed' or 're-opened' to new provider applicants.

*Unsolicited applications for credentialing or contracting from non-participating individuals or clinics will not be accepted.

Covered Providers

Panel Open

Exceptions

Acupuncturist (LAC)

No

 

Advanced Practice Professional Nurse (ARNP)

Yes

 

  • Certified Nurse Midwife (CNM)

Yes

 

  • Certified Registered Nurse Anesthetist (CRNA)

Yes

 

Ambulatory Surgery Center (ASC)

Yes

 

Audiologists (AuD)

Yes

 

Certified Nutritionist (CN)

Yes

 

Chiropractor (DC)

No

Unless joining clinic agreement

Dentist (DDS/MD)

Yes

 

Dialysis Facility

Yes

 

Dietitians (RD)

Yes

 

Durable Medical Equipment (DME)

No

 

Home Health

No

 

Home Infusion Therapy

No

 

Hospice

No

 

Hospital

Yes

 

Licensed Clinical Social Worker (LCSW)

No

 

Licensed Clinical Social Worker-Independent practice (LCSW-I)

No

 

Licensed Marriage and Family Therapist (LMFT)

No

 

Licensed Massage Therapist (LMP)

No

 

Licensed Mental Health Counselors (LMHC)

No

 

Licensed Midwife (LM)

Yes

 

Licensed Naturopath (ND)

No

Contact RBS for additional information

Occupational Therapist (OT)

Yes

 

Optometrist (OD)

Yes

 

Orthotics & Prosthetics

No

 

Physician (MD/DO)

Yes

 

Podiatrist (DPM)

Yes

 

Psychologist (PhD)

No

 

Physical Therapist (PT)

No

Walla Walla & Columbia Counties- any other exceptions must be approved by Provider Network Management

Skilled Nursing Facility (SNF)

No

 

Speech Therapist (SLP)

Yes

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Orthotics & Prosthetics

No

 

Physician (MD/DO)

Yes

 

Podiatrist (DPM)

Yes

 

Psychologist (PhD)

No

 

Physical Therapist (PT)

No

Walla Walla & Columbia Counties- any other exceptions must be approved by Provider Network Management

 

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