Online services

You can easily check eligibility and benefits for all our members, the status of claims you submitted, and more, at these sites:

This image is a collage of different people. The upper left is a happy doctor standing in a medical institution. The upper right is a father and daughter going to fish together with all needed equipment. The bottom is of a father with son busy on laptop while daughter and mother working in kitchen to bake a cake.

 

MyDentalCoverage

All Regence dental members (excluding FEP members) have transitioned to our new service platform, MyDentalCoverage. Providers can use the MyDentalCoverage portal to: 

  • Register for electronic funds transfer (EFT) 

  • View remits directly 

  • Submit or review claims status

  • Verify your patients’ dental benefits and eligibility 

  • Submit pre-treatment estimates

  • Chat online with a dental customer service representative



Availity Essentials

Availity Essentials should be used to obtain eligibility, benefits, and real-time authorization for members of the BlueCross BlueShield Federal Employee Health Benefits Standard and Basic option plans.

FAQs

The patient cost estimator is no longer available on Availity for dental business, for cost estimations for non-transitioned members please file a pre-determination on Availity Essentials.  All other members submit pre-determinations on MyDentalCoverage or use the online cost estimator. 

Benefits will be predetermined under the assumption that Regence is the primary insurer. If the patient is insured under more than one policy, actual benefits payable may be adjusted due to coordination of benefits (COB) or maintenance (non-duplication) of benefits (MOB).

Predeterminations are provided as a courtesy and are not a guarantee of payment. All services are subject to the benefits, eligibility and maximum allowable amounts in effect on the actual date of service. Estimated payment may be reduced due to prior payments for treatment. Actual benefits payable will depend upon the following:

  • Benefits available
  • Member contract limitations
  • Provider participating status
  • Patient and provider eligibility
  • Benefit maximums in effect when the services are completed

The cost estimator is no longer available in Availity. To receive estimated costs you will need to submit a pre-determination through the Availity portal. For a member who has transitioned to the new platform, please visit MyDentalCoverage.com.