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(to be used with the Idaho Individual Application) ... Lewiston, Idaho 83501. A. B ... is subject to review and approval by Regency Bluesier of Idaho (Regency).
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ABCDE Regence BlueShield is a health insurance provider.
Healthcare providers and facilities that participate in the Regence BlueShield network are required to file ABCDE form.
The ABCDE form can be filled out online through the Regence BlueShield website or submitted through mail. It requires information about the services provided, provider details, payment information, and patient information.
The purpose of the ABCDE form is to report and claim reimbursement for healthcare services rendered to patients covered by Regence BlueShield insurance.
Information such as service provided, diagnosis, provider details, patient information, and reimbursement details must be reported on the ABCDE form.
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