CommercialCoverageHigh impact
Update on negotiations with OHSU
Regence BlueCross BlueShield of Oregon·OR·Provider News
Effective date
Jan 1, 2026
We identified it
Jan 20, 2026
Summary
Regence BlueCross BlueShield of Oregon has terminated its contract with OHSU providers and facilities (including Hillsboro Medical Center and Tuality Medical Group) effective January 1, 2026. However, due to a 12-month continuation-of-services clause, Regence members will continue to receive in-network rates and benefits at OHSU facilities through December 31, 2026, with no balance billing. Billing teams must ensure claims for OHSU services submitted through end of 2026 are processed as in-network to avoid member billing issues.
Action Required
By December 31, 2025: Billing team must verify that all OHSU provider claims (including Hillsboro Medical Center and Tuality Medical Group) continue to be processed as in-network through December 31, 2026 despite the contract termination. Update billing system rules to maintain in-network status and benefits for OHSU claims through the continuation period. Ensure claims adjudication does not incorrectly deny or downgrade OHSU claims to out-of-network. Front desk and verification staff should continue to verify OHSU as in-network when members call. Flag any system alerts that may trigger on terminated contracts to prevent erroneous denials. Document the 12-month continuation clause in internal procedures. Failure to process claims correctly will result in member balance billing and complaint escalation.