Patient Advocates for Regence BlueShield Washington - Find one today.
Supporting and empowering Regence BlueShield Washington patients.
Regence BlueShield has been serving Washington residents for decades, but untangling their authorization requirements and multi-stage appeal process can feel like trying to climb Mount Rainier in flip-flops. Your Solace advocate understands the fine print of Regence's policies—from securing prior authorizations to challenging denied claims and coordinating specialty care across Washington's diverse geography. They'll sort through the paperwork maze, handle the persistent follow-up calls, and dismantle the bureaucratic barriers so you can focus on your health instead of wrestling with insurance complexities.
Best of all, most patients pay nothing out of pocket.
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About
Regence BlueShield is a key member of the Regence family of health plans, which represents the largest affiliation of health plans in the Pacific Northwest/Mountain region. As a not-for-profit organization with headquarters in Seattle and operations throughout Washington state, Regence provides members with access to thousands of providers and facilities across the region. Their network extends from major metropolitan areas like Seattle and Spokane to rural communities throughout the state, offering various plan options for individuals, families, and employers. While they emphasize local service and community connections, members often face 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 Washington residents dealing with the state's geographic and healthcare access challenges, especially in rural and island communities, effectively working through Regence's appeal process can present significant hurdles.
What problems can a Regence BlueShield Washington 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
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 Washington Appeals with a Patient Advocate
Tackling Regence's layered appeal structure demands persistence, precision, and insider knowledge of their evaluation criteria. The system includes multiple tiers—from initial internal reviews to higher-level appeals and independent external assessments when necessary. Your Solace advocate excels at crafting persuasive appeals that speak directly to Regence's requirements, gathering comprehensive medical documentation, and presenting your case using language that resonates with their review teams. They'll vigilantly monitor deadlines, ensuring your appeal progresses through the system within the critical 65-day window from the initial decision.
When confronting a Regence denial, your advocate quickly pinpoints the fundamental issues—whether related to incomplete medical records, coding discrepancies, network restrictions, or disagreements about medical necessity. They'll work closely with your healthcare providers to compile compelling evidence supporting your treatment needs and may facilitate critical conversations between your physicians and Regence's medical directors. For particularly challenging cases requiring an objective assessment, they know precisely how to elevate your appeal to independent reviewers who can provide an unbiased evaluation. Throughout this winding process, they maintain transparent communication, transforming complex insurance terminology into clear explanations so you always understand where your case stands.
A Solace advocate stands as your ally, breaking down Regence BlueShield Washington's bureaucratic walls so you can access the care you're entitled to receive.
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.