Regence is a health insurance company that provides a variety of healthcare services to individuals and families. Through its single case agreement form, Regence offers a way for patients to receive services from out-of-network providers if they meet certain criteria.
The Regence single case agreement form is typically used when a patient needs a specific medical service or treatment that is not available from an in-network provider. In these cases, the patient`s healthcare provider can request authorization from Regence to use an out-of-network provider for the service or treatment.
To initiate the process, the healthcare provider must submit a completed single case agreement form to Regence. The form includes information about the patient, the requested service or treatment, and the out-of-network provider who will provide the service. Regence will review the form and determine whether to approve the request.
There are several reasons why a patient might need a single case agreement. For example, the patient may have a rare medical condition that requires specialized treatment from an out-of-network provider. Alternatively, the patient may live in a remote area where there are no in-network providers available for the required service.
It is important to note that single case agreements are not guaranteed to be approved. Regence will only approve requests that it deems medically necessary and appropriate. In addition, patients may still be responsible for paying a portion of the cost of the service or treatment, even if it is provided by an out-of-network provider.
If you are a Regence member and think you may need a single case agreement, it is important to discuss your options with your healthcare provider. They can help you understand the process and determine whether a single case agreement is appropriate for your situation.
In conclusion, the Regence single case agreement form is a valuable tool for patients who need specialized medical services or treatments that are not available from in-network providers. By working with healthcare providers and insurance companies, patients can receive the care they need while minimizing the financial impact of healthcare expenses.