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Legacy Health negotiations
Act
immediately
Effective date
May 6, 2026
Identified
May 29, 2026
Summary
Legacy Health has returned to in-network status for Regence health plan members in Oregon and Southwest Washington effective immediately (as of May 6, 2026). All claims from Legacy Health providers during the out-of-network period will be reprocessed as in-network. Billing teams must update provider directories and ensure claims are submitted with in-network status going forward.
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What to do
immediately · 6 steps
01Billing team must update all billing software and systems to reflect Legacy Health providers as in-network for Regence plans in Oregon and Washington.
02Remove any out-of-network modifiers or indicators for Legacy Health claims going forward.
03Search billing system for any pending or recently submitted Legacy Health claims from the out-of-network period and flag them for reprocessing as in-network claims—do not resubmit without verification to avoid duplicate billing.
04Update provider directories and credentialing records to show Legacy Health as in-network.
05Notify providers and front desk staff that Legacy Health is restored to network status to prevent billing errors.
06If patients were balance-billed or charged higher out-of-network costs during the termination period, coordinate with billing management to identify affected claims and process refunds per member benefit agreements.
If missed: Failure to update systems may result in claims being denied or underpaid as out-of-network.
Original notice
Legacy Health negotiations
news.regence.com · Always check the source before changing claims.