Patient Advocates for Regence BlueShield of Idaho - Find one today.
Supporting and empowering Regence BlueShield of Idaho patients.
Regence BlueShield of Idaho has been serving Idahoans since 1946, but navigating their authorization requirements and multi-level appeal process can feel like scaling one of Idaho's majestic mountains without proper equipment. Your Solace advocate understands Regence's policies from top to bottom—from obtaining prior authorizations to challenging denied claims and coordinating specialty care across Idaho's diverse terrain. They'll tackle the paperwork maze, make the persistent follow-up calls, and navigate the bureaucratic obstacles so you can focus on your health instead of wrestling with insurance red tape.
Best of all, most patients pay nothing out of pocket.
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About
Regence BlueShield of Idaho is a not-for-profit organization with deep roots in the state, serving more than 360,000 members with over 600 local employees. As part of the Regence family, which represents the largest affiliation of health plans in the Pacific Northwest/Mountain region, Regence Idaho provides access to a substantial network that includes partnerships with over 50,000 providers and 20,000 facilities across their four-state region. While they maintain a strong local presence and focus on Idaho's unique healthcare needs, members often face challenges with their multi-tiered appeal process, which includes first-level appeals, second-level appeals, and external reviews through independent organizations. Their appeal timelines and procedures can be complex, requiring members to submit appeals within specific timeframes (typically 65 days from receiving a written decision) and navigate different submission methods depending on the type of service being disputed.
What problems can a Regence BlueShield of Idaho 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
Rose G.
04/01/2024
Eric H.
08/07/2024
Joan H.
05/01/2024
Stephen I.
04/27/2024
Jonathan J.
06/05/2024
Anne J.
07/27/2024
Regence BlueShield of Idaho Appeals with a Patient Advocate
Wading through Regence's appeal system requires expert navigation skills and intimate knowledge of their processes. The system includes multiple tiers—first-level internal reviews, second-level appeals, and external independent reviews if necessary. Your Solace advocate brings essential expertise in crafting compelling appeals packages, gathering critical supporting documentation, and presenting your case in the language that Regence's reviewers understand and respond to. They'll vigilantly monitor deadlines, ensuring your appeal is submitted within the required 65-day window from the initial decision.
When confronted with a Regence denial, your dedicated advocate will swiftly pinpoint the root cause—whether it's incomplete medical records, coding discrepancies, network limitations, or questions about medical necessity. They'll collaborate closely with your healthcare team to compile persuasive evidence supporting your case and may facilitate crucial conversations between your physicians and Regence's medical directors. For complex situations requiring external review, they understand exactly how to escalate your case beyond Regence's internal process to independent reviewers who can deliver an unbiased verdict. Throughout this journey, they'll maintain clear communication, translating insurance jargon into plain language so you always understand where your case stands.
In Idaho's rugged healthcare landscape, having a Solace advocate in your corner isn't just helpful—it's your lifeline to getting the care 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.