Patient Advocates for Regence BlueCross BlueShield of Utah - Find one today.
Supporting and empowering Regence BlueCross BlueShield of Utah patients.
Regence BlueCross BlueShield of Utah provides coverage across the Beehive State, but wrangling with their authorization requirements and multi-tiered appeal process can feel as challenging as scaling the Wasatch Range without proper gear. Your Solace advocate knows the ins and outs of Regence's policies—from obtaining prior authorizations to fighting denied claims and coordinating specialty care across Utah's varied landscapes. They'll sort through the paperwork labyrinth, make the persistent follow-up calls, and clear the bureaucratic hurdles so you can concentrate on your health instead of grappling with insurance complexities.
Best of all, most patients pay nothing out of pocket.
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About
Regence BlueCross BlueShield of Utah is part of the Regence family of health plans, the largest affiliation of health plans in the Pacific Northwest/Mountain region. As a not-for-profit organization with a commitment to transforming healthcare delivery, Regence Utah provides members with access to thousands of providers and facilities throughout the state and region. Their provider network extends across Utah's diverse geography, from the metropolitan Salt Lake City area to rural communities throughout the state. While they emphasize local service and community connections, members frequently encounter challenges with their complex appeal system, which includes multiple review stages and specific procedural requirements. Their appeal process typically gives members 65 days from receiving a written decision to submit an appeal, with different submission protocols depending on the type of service being disputed. For Utah residents facing the state's unique healthcare challenges, including access to specialized care in remote areas, understanding and effectively utilizing Regence's appeal process can be particularly daunting.
What problems can a Regence BlueCross BlueShield of Utah patient advocate help you with?
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Get the clarity you need to make sense of your care and take charge of your health.
We’ll make the calls (and the callbacks) so you can spend more time doing what you love.
Keep your care affordable with lower medical bills and access to local financial help.
Advocates review coverage, handle preauthorizations, and even help with appeals.
Stay on top of the cutting-edge treatment options and leave no stone unturned.
Advocates coordinate your care team so your health never falls through the cracks.
Get the tools and answers you need to make informed decisions about your care.
Advocates help you overcome your healthcare hurdles—no matter how big they might be.
Solace has helped over 14,000 patients and families
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04/01/2024
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08/07/2024
Joan H.
05/01/2024
Stephen I.
04/27/2024
Jonathan J.
06/05/2024
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07/27/2024
Regence BlueCross BlueShield of Utah Appeals with a Patient Advocate
Maneuvering through Regence's intricate appeal framework requires tenacity, meticulous attention to procedures, and deep familiarity with their internal workings. The system consists of several layers—initial reviews, higher-level internal appeals, and independent external assessments when necessary. Your Solace advocate shines at developing compelling appeals that directly address Regence's evaluation standards, compiling crucial medical evidence, and framing your case in terminology that clicks with their reviewers. They'll keep close tabs on deadlines, ensuring your appeal progresses through the system within the vital 65-day timeframe from the initial determination.
When battling a Regence denial, your advocate swiftly identifies the core issues—whether they involve missing clinical records, procedural coding discrepancies, network limitations, or disagreements about medical necessity. They'll collaborate with your healthcare team to build a robust case supporting your treatment requirements and may facilitate essential discussions between your doctors and Regence's medical assessment staff. For particularly stubborn denials requiring an objective evaluation, they know exactly how to escalate your appeal to independent reviewers who can provide an impartial judgment. Throughout this intricate process, they maintain clear communication, converting insurance jargon into straightforward explanations so you're always informed about your case status.
A Solace advocate can be your champion, cutting through Regence BlueCross BlueShield of Utah's red tape to get you the coverage you deserve.
The Solace care team model
With Solace, you get both a patient advocate and a supporting physician, which we refer to as your “care team”.
Your advocate will be there to manage the day to day aspects of your care: coordinating with doctors, researching potential solutions and communicating updates to you.
Your supporting physician can unlock resources for you and your advocate that might otherwise be out of reach.
We’ve Got Answers
Still unsure how an advocate can help? Explore these answers to the questions we’re asked the most.
How are Solace advocates qualified to help?
Advocates on Solace are experienced physicians, nurses, pharmacists, and other healthcare professionals from a wide range of backgrounds. 98% of Solace patients report better healthcare outcomes after working with an advocate.
What else can a Solace advocate help me with?
What can a Solace advocate not do?
We know our advocates sound like miracle workers, but they have limits. They can’t prescribe medications or diagnose an illness, for instance. They can’t replace your doctor, but they can break down the barriers standing between you and the quality care you deserve.