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Regence BlueShield fax number

(888) 891-0771

Incident Reporting / Claims

Used for: Submitting Regence BlueShield incident report forms for injuries/accidents; used to file and process health/auto/work-related claim information.

Fax destination details

Department
Incident Reporting / Claims
Purpose
Submitting Regence BlueShield incident report forms for injuries/accidents; used to file and process health/auto/work-related claim information.
Form
FORM 5251WA — Washington Incident Report (Regence BlueShield) Form 5251WA
Address
1800 Ninth Avenue, Seattle, WA 98101
Voice phone
1-888-344-6347

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  • Check the organization website or call its main line for the current fax number.
  • Include a cover sheet and any case, member, claim, or form reference required.
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Complete and sign the Regence Form 5251WA. Return within 25 days of receipt. Provide all required information, including patient, provider, date of service, and insurance details. Submit by mail to Regence BlueShield, 1800 Ninth Avenue, Seattle, WA 98101 or by fax to 1-888-891-0771.

Official form instructions are published as a downloadable file on the organization's website.

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