Regence Group Administrators
Regence Group Administrators is a third-party administrator (TPA) operating in Oregon and Washington. For an ASC, what matters isn't the logo. It's how Regence Group Administrators pays: where it runs rich, where it runs thin, and how its reimbursement compares with peer plans for the same procedures.
Pilot Analysis
Get the complete Regence Group Administrators analysis
Tell us where to send it. Our team will prepare an analysis of Regence Group Administrators covering rates by code, market position, and underpaid areas, and email it to you within 5-10 business days. Need it faster? Book a demo.
What Insights reveals
How Regence Group Administrators pays
See how Regence Group Administrators reimburses across procedures and markets, benchmarked against the peer plans competing for the same cases. Not a raw rate sheet, a read on where it sits.
Geographic footprint
Regence Group Administrators's presence spans Oregon and Washington. See where it concentrates and how that shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for Regence Group Administrators and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive Regence Group Administrators's volume, so you know where a rate change moves the needle.
Whether you're an ASC benchmarking a contract or a provider team looking Regence Group Administrators up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with Regence Group Administrators
- Payer ID
- RGA01 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Regence Group Administrators through a clearinghouse.
- Eligibility verification
- Coverage and benefits for Regence Group Administrators members are verified before the date of service, through a clearinghouse using payer ID RGA01or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with Regence Group Administrators directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of Regence Group Administrators the way it pays.
- What is Regence Group Administrators's payer ID?
- Regence Group Administrators's electronic payer ID is RGA01. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Regence Group Administrators through a clearinghouse.
- How do ASCs verify eligibility for Regence Group Administrators members?
- Eligibility and benefits for Regence Group Administrators members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID RGA01) or through the payer's provider portal.
- Does Regence Group Administrators require prior authorization for ASC procedures?
- Prior-authorization requirements for Regence Group Administrators are set per plan and per procedure. Confirm whether an authorization is required with Regence Group Administrators directly before the date of service.
- What type of payer is Regence Group Administrators?
- Regence Group Administrators is a third-party administrator (TPA) operating in Oregon and Washington.
- How does Regence Group Administrators compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where Regence Group Administrators pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is Regence Group Administrators paying my ASC below market?
- Put your own Regence Group Administrators contract next to the peer benchmark in DataLily AI and you'll see the gap by procedure and market, the fastest way to know whether you're leaving money on the table.