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Find the companies for your location

For BCBS claims through Thrizer, use the practice or claim-service location used for billing, not the client’s home address or the plan on the client’s insurance card. If you provide telehealth or bill from multiple locations and aren’t sure which location applies, ask the relevant insurers’ provider teams before submitting registration information. Open Premera’s BlueCard county map, find your Washington county, and use its legend to identify the companies shown for your location: When the map lists two companies, plan to register with both separately. Premera presents this map as a guide to where BlueCard claims are submitted. It does not identify the form or portal for a first-time out-of-network practice record. Follow both registration guides and confirm the first-time process with each company.

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Use the right provider-information route

Have your practice EIN/TIN, billing NPI, each clinician’s rendering NPI, and practice or claim-service address ready. Make sure the information you provide matches your Thrizer records.

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Regence

We recommend Regence’s Provider Information Update Form for a new practice as well as existing-record updates, based on payer representatives’ advice reported to Thrizer. Regence’s public instructions do not clearly establish the complete first-time out-of-network registration process. Use the form to request a nonparticipating provider record with the applicable Regence company and confirm any additional clinician-enrollment or affiliation steps. Follow the Regence guide for the evidence limits, submission, and confirmation steps.

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Premera

Premera’s Update Provider Information instructions and Washington Provider Update form cover changes to practice information, locations, and practitioners. If this is your first registration with Premera, use its provider contacts to ask for the first-time nonparticipating provider-record process. Its published update instructions do not establish that the form creates an initial record. If you need clarification from either company’s provider team, ask: “We need a nonparticipating provider record for out-of-network claims under our TIN and NPIs at this service location. Which clinicians and locations must be included, how do we submit the information, and are any additional steps required?” For Regence, contact its Provider Contact Center. The new-practice form recommendation does not independently confirm acceptance or active registration. Follow each company’s instructions. If both companies are listed for your county, complete each process separately; an update or registration with one does not complete the other.

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Confirm your records and notify Thrizer

Ask each required company to confirm that your nonparticipating practice record and required clinician affiliations are active. A submitted form, an Availity account, or a payer selection alone does not confirm registration. Keep each confirmation and any case number, then notify Thrizer and review what happens next.