The following national self-funded employer groups have access to our provider networks:

Regence BlueCross BlueShield of Utah service area:

  • Alsco Inc. (group #70000002) - Utah and Wyoming members will have access to the local participating providers, and members outside of Utah and Wyoming will have access to the BlueCard PPO Network.
  • Avalon Health Care Inc. (group #70000007) - Utah and Wyoming members will have access to the local participating providers, and members outside of Utah and Wyoming will have access to the BlueCard PPO Network.
  • CHG Healthcare Services (group #70000004) - Preferred ValueCare Network
  • Sportsman's Warehouse Holdings Inc. (group #70000008) - Utah and Wyoming members will have access to the local participating providers, and members outside of Utah and Wyoming will have access to the BlueCard PPO Network.

Regence BlueShield of Idaho service area:

  • IEC Group (group #70000000) - All members (with the exception of Utah) will have access to the Preferred network. Utah members will have access to the BlueCard Traditional Network.
  • J-U-B Engineers, Inc. (group #70000009) – Utah and Wyoming members will have access to the local participating network, and members outside of Utah and Wyoming will have access to the BlueCard PPO Network.

Regence BlueCross BlueShield of Oregon service area:

  • Alpha Media (group #70000010) – All members (with the exception of Utah and Wyoming) will have access to the Preferred network. Utah and Wyoming members will have access to the BlueCard Traditional Network.

Members traveling or residing outside of the Regence service area have access to the BlueCard Traditional or BlueCard PPO networks.

Reimbursement is based on your Regence agreement, and provider servicing is performed by Regence.

AmeriBen, the third-party administrator, provides claims administration, medical management and Customer Service for these members.

Identifying members

Easily identify members on these groups by their prefix and member card.

Included below are the prefixes and BlueCard suitcase logos that appear on the member cards:

  • Alpha Media: A3M (PPO in the suitcase logo) and A5M (blank suitcase logo)
  • Alsco Inc.: QAL (PPO in the suitcase logo) and YAL (blank suitcase logo)
  • Avalon Health Care Inc.: QIV (PPO in the suitcase logo) and TIV (blank suitcase logo)
  • CHG Healthcare Services: ZHG (PPO in the suitcase logo) 
  • IEC Group: IEA (PPO in the suitcase logo) and XNV (blank suitcase logo)
  • J-U-B Engineers: J2B (PPO in the suitcase logo) and J3B (blank suitcase logo)
  • Sportsman's Warehouse Holdings Inc.: OJW (PPO in the suitcase logo) and ZJW (blank suitcase logo)

View the sample member cards below (front/back). Note: The sample cards below include a placeholder prefix of SMPL (sample).

Alsco sample member card

Alsco member card front

Alsco member card back

IEC Group sample member card

IEC Group member card front

IEC Group member card back

CHG Healthcare Services sample member card

CHG Group member card front

CHG Group member card back

Eligibility, benefits and claim status

Access member eligibility and benefits and claim information via the Availity Portal, the same as you do today for your other Regence patients. Eligibility is transferred from AmeriBen to Regence on a weekly basis for these members.

Pharmacy benefits

The following companies administer the pharmacy benefits for both retail and mail order prescriptions:

  • Alpha Media: Express Scripts
  • Alsco Inc.: VRx Pharmacy
  • Avalon Health Care Inc.: EnvisionRx
  • CHG Healthcare Services: Navitus Health Solutions (See information in Pre-authorization section below regarding the pre-authorization requirement for certain specialty medications.)
  • IEC Group: Navitus Health Solutions (See information in Pre-authorization section below regarding the pre-authorization requirement for certain specialty medications.)
  • J-U-B Engineers: Navitus Health Solutions
  • Sportsman's Warehouse Holdings Inc.: Magellen Rx Management

Pre-authorization

Our Commercial Pre-authorization List applies to these members. Providers need to obtain pre-authorization from AmeriBen Medical Management for these members as indicated on the Commercial Pre-authorization List.

Notes:

  • Dialysis treatment: A pre-notification requirement is included on our Commercial Pre-authorization List for dialysis treatments for Alsco Inc., Avalon Health Care Inc., CHG Healthcare Services, IEC Group and Sportsman's Warehouse Holdings Inc. members. Providers need to submit pre-notifications for dialysis treatment to AmeriBen Medical Management for these members.
  • Specialty medications: Pre-authorization for certain specialty medications is required for CHG Healthcare Services (group #70000004) members. The list of medications is included on our Commercial Pre-authorization List. Submit pre-authorizations for these specialty medications to VIVIO Health Help Desk at 1 (800) 470-4034. This phone number should only be used for pre-authorizing specialty medications for these members. Note: Effective May 1, 2019, the specialty medication list will also apply to IEC Group (group #70000000) members,

Medical management

AmeriBen Medical Management supports members on these groups. These members are excluded from the Regence BabyWise, Physical Medicine, Sleep Medicine and radiology programs offered by Regence.

Contact AmeriBen Medical Management at the following phone numbers for pre-authorization requests and medical management support for these members:

  • Alpha Media: 1 (877) 955-1570
  • Alsco Inc.: 1 (855) 778-9047
  • Avalon Health Care Inc.: 1 (866) 504-6812
  • CHG Healthcare Services: 1 (855) 258-6451
  • IEC Group: 1 (866) 947-9522
  • J-U-B Engineers: 1 (866) 955-1490
  • Sportsman's Warehouse Holdings Inc.: 1 (855) 240-3696

Claims and payment

Submit claims electronically for these members the same way you submit claims for your other Regence patients.

You will receive payment the same way you do for your other Regence patients.

Customer service

Our Regence Contact Center and Provider Relations team supports providers for these members.

Members should contact AmeriBen at the following phone numbers:

  • Alpha Media: 1 (877) 955-1576
  • Alsco Inc.: 1 (866) 504-6814
  • Avalon Health Care Inc.: 1 (866) 504-6811
  • CHG Healthcare Services: 1 (888) 268-5963
  • IEC Group: 1 (866) 947-9522
  • J-U-B Engineers: 1 (866) 215-0978
  • Sportsman's Warehouse Holdings Inc.: 1 (866) 955-1487

Appeals

Provider appeals for these members follow the same process as provider appeals for other Regence members.

Appeals requested on behalf of these members need to be submitted to AmeriBen within 180 days of receipt of the written notification of an adverse benefit determination. Please submit appeals on behalf of these members to:

AmeriBen
Attention: Appeals Coordinator
P.O. Box 7186
Boise, ID 83707

For member appeals, AmeriBen will send a copy of the written determination to the member and provider. The Appeals for members section of our Administrative Manual includes this information.