Regence Uniform Medical Forms

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Uniform Medical Plan - Regence

https://www.regence.com/provider/products/large-groups-administrators/ump

Uniform Medical Plan (UMP) is a health plan offered through the Washington State Health Care Authority’s (HCA) Public Employees Benefits Board (PEBB) and the School …

Forms and documents - Regence

https://www.regence.com/provider/forms-documents

Forms & documents for providers. Access all the forms and documents you need to support your Regence patients, manage your claims payments and more. Search by …

Forms and documents for members - Regence

https://www.regence.com/member/resources/forms-documents

Forms and documents for members Sign in × Find a doctor Contact us Loading... Forms and Documents for Individuals and Families Access all the forms and documents you …

Uniform Medical Plan (UMP) - Washington

https://www.hca.wa.gov/about-hca/programs-and-initiatives/uniform-medical-plan-ump

Uniform Medical Plan (UMP) is a self-insured health plan offered through the Washington State Health Care Authority’s (HCA) Public Employees Benefits Board (PEBB) Program …

Forms - Regence

https://ump.regence.com/provider/library/forms

Uniform Medical Plan (UMP) and PEBB for public …

https://ump.regence.com/pebb

Welcome, PEBB member Uniform Medical Plan (UMP) is a collection of high-quality, self-insured preferred provider organization (PPO) health plans offered through Washington …

Uniform Medical Plan

https://ump.regence.com/member/ump/

Uniform Medical Plan Welcome to UMP Please choose whether you are a member of the Public Employees Benefits Board (PEBB) Program or the School Employees Benefits Board (SEBB) Program. …

Commonly used forms - PEBB - ump.regence.com

https://ump.regence.com/pebb/forms/common-forms

Vision form VSP Request for Reimbursement form: for services from an out-of-network provider or for the purchase of prescription contact lenses and eyeglasses. If you have …

MEDICAL CLAIM FORM - Washington

https://www.hca.wa.gov/assets/pebb/ump-regence-medical-claim-form.pdf

Sign the completed form where indicated at the bottom of this page and submit the completed claim form to:Regence BlueShieldAttn: UMP ClaimsPO Box 1106Lewiston, ID …

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