Loading...Loading...Provider search on our authenticated member website and Regence app now features provider performance ratings to help members identify high-performing, high-value, in-network providers. Ratings are based on objective, third-party data and analytics, as well as health plan claims data, and evaluate physicians based on a comprehensive evaluation of evidence-based medicine (quality and appropriateness of care) and cost efficiency.
- For members, higher-rated providers appear at the top of search results, although results can still be sorted according to their preference, such as by distance or name.
- For physicians, these ratings showcase your commitment to quality and value, helping connect you to patients who will benefit most from your expertise.
Provider Performance Scorecards
Physicians can access personalized Provider Performance Scorecards that include:
- Their overall rating level
- Detailed breakdowns of performance in each evaluation category
- Comparison to peer benchmarks
- Specific metrics that influence ratings
- Suggestions for improvement in performance
To view your scorecard, sign into Availity Essentials: Payer Spaces>Provider Reports>Credentialing & Maintenance Reports>Provider Performance Report.
Learn more
Sign into Availity Essentials: Regence Payer Spaces>Resources>Provider Performance Ratings to view:
- A comprehensive guide to provider performance ratings
- An overview of Provider Performance Scorecards
- Answers to frequently asked questions
- Detailed information about the reconsideration process
- Performance measure guides
Read more about provider performance ratings in the May special edition and June issues of our newsletter.
6/30/2025
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