Loading...Loading...Heartbeat Health is a national cardiology practice that helps prevent, manage and treat heart conditions from anywhere.
They provide comprehensive heart care, starting with virtual visits to address a patient’s needs. Their team coordinates necessary testing, manages medications and works closely with the patient’s providers for advanced care when necessary.
They are available to Regence commercial and Medicare Advantage members.
As a health care provider, Heartbeat Health can help you with:
- Medical management for adults (18+) with comorbidities like hypertension, type 2 diabetes, heart failure, coronary disease, arrhythmias or high cholesterol
- Patients that need a workup for symptoms such as chest pain, dyspnea, palpitations or syncope
- Pre-operative assessments or post-discharge follow-up
- Individuals facing long wait times or limited access to local cardiology services
Learn more about Heartbeat Health and how to submit a patient referral.
8/19/2025
DirectDerm offers a seamless, efficient and effective solution for diagnosing and managing skin conditions remotely. It is a teledermatology service that connects patients with board-certified dermatologists through a secure online platform. It allows patients to receive expert dermatological care without the need for an in-person visit. DirectDerm ensures that patients have access to timely and accurate diagnoses, treatment plans and follow-up care.
As a health care provider, DirectDerm can help you and your Regence Medicare Advantage patients:
- Whenever you would like a dermatologist’s opinion on a diagnosis or treatment choice for a patient’s skin condition.
- When a condition or lesion needs to be evaluated sooner rather than later.
- When the shortage of dermatologists extends wait times in your area to weeks or months and a patient needs a dermatology consult before one would be available.
- If location or circumstances (such as young children in the home, remote location or weather conditions) make it difficult for a patient to travel to a dermatologist.
- If you would like to establish a two-way dialogue with dermatology specialists. PCPs often say they would like support with many of their patients’ skin issues. DirectDerm can help with individual cases and provide educational support.
Learn more about:
- The conditions they treat
- How to submit a patient referral
8/19/2025
Reminder: Beginning September 1, 2025, all clinical records necessary to complete medical necessity reviews must be available by EMR or submitted by fax within 24 hours of acute inpatient hospital medical admissions. This timeframe coincides with our 24-hour inpatient admission notification requirements and applies to admissions for all lines of business.
We will no longer provide clinical records deadlines when we fax acknowledgment of admissions notification.
- If you use PointClickCare (PCC) and grant electronic medical record (EMR) access, you will not experience a change in process. Ensure records are viewable in your EMR within 24 hours of admission.
- If you don’t grant EMR access, fax complete clinical records within 24 hours of admission. The face sheet and/or admission diagnosis alone are not sufficient. Contact your provider relations executive to learn more about connecting your EMR.
If a facility does not submit clinical records within 24 hours of admission, the admission may be administratively denied as provider liability.
View our authorization and records requirements on our pre-authorization lists.
8/5/2025
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
Our newsletter and bulletin contain important information and notices of changes that impact your office, including recent and upcoming changes to policies and pre-authorization requirements.
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