Medical management

We provide a wide range of medical management programs designed to support our members at any stage of health. These programs are targeted to specific conditions or are designed to improve or maintain overall health.

Care management

Does your patient need support? Regence care management supports the unique needs of members with acute, chronic and major illness episodes or severe illness conditions.

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Personalized care support

Our program focuses on supporting the health care needs of our members and families at any stage of life or illness.

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Cardiology

Sleep medicine

Radiology

Physical medicine

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Cardiology

We partner with Carelon to manage our cardiology program, which reviews outpatient cardiovascular tests and procedures.

Review program

Sleep medicine

We partner with Carelon Medical Benefits Management (Carelon) to manage our Sleep Medicine program to manage testing and therapy services for sleep disorders.

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Radiology

Carelon Medical Benefit Management (Carelon), which reviews services performed in an outpatient, elective setting.

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Physical medicine

We partner with eviCore Healthcare (eviCore) to manage our Physical Medicine program for spinal surgeries, pain and joint management, physical medicine and therapies.

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Diabetes management

We are committed to ensuring our members who are living with diabetes receive the best care, treatment and information.

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Hypertension management

Our program is designed to help members by providing a comprehensive and supportive environment for members to manage their condition.

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Kidney health management

Our kidney health management program improves care and outcomes for eligible members with chronic kidney disease (CKD) and end-stage renal disease (ESRD).

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Pharmacy

Explore our members’ prescription benefits and other medication information. Learn more about special member programs, pharmacy pre-authorization and our formularies.

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LabCorp

Laboratory Corp. of America is our lab of choice. We encourage you to refer patients to LabCorp for outpatient lab and pathology services.

Explore LabCorp

Carelon and eviCore are separate and independent companies that provide healthcare management and pre-authorization services for Regence members. Omada Health is a separate company that provides care and disease management services.