Regence BlueShield (Washington) Prior Authorization

Coverage: Washington Regence provider guidance. The numeric filing fact below applies only to FEP, not state commercial or UMP products.

Start with the reviewed Regence BlueShield (Washington) resources below. Confirm the member's current plan, the payer's operating status, and the requested service before scheduling care or submitting a request.

At a glance

• For BlueCard members, use the member home plan authorization workflow, including supported electronic prior authorization/278 transactions. Do not assume the local Regence plan sets every BlueCard requirement.
• Verify the member product, network, and service before submitting.

Where to verify prior authorization requirements

• Verification resource 1
• Verification resource 2

How to submit prior authorization requests

• BlueCard home-plan electronic authorization/278 workflow where supported

• FEP authorization through the applicable Availity workflow

• Washington UMP only: Availity prior authorization

• No direct topic-specific link was captured in the current research set.

Information commonly required

• Not clearly published in the researched sources.

Turnaround notes and caveats

• Verify the member product, network, and service before submitting.

Provider resources

• Authorization guidance (official)
• Filing guidance (official)
• Claims guidance (official)

Sources

Update notes

Last updated: 2026-10-30.

• Added official Regence BlueCard and FEP guidance. Kept FEP filing separate from commercial coverage.
• General state commercial initial and corrected filing intervals remain unverified. Member proof-of-loss periods are not used as provider deadlines.
• Official indexed Availity guidance confirms electronic claims access; the public page renders a script-only shell. No authenticated transaction was tested.