Portneuf Health out of network for Regence patients

POCATELLO, Idaho (KIFI) — Portneuf Health is now out of network for Regence BlueShield of Idaho members after failing to reach a new agreement before their previous contract expired on Sunday.

"Significant issues remain unresolved." a press statement from Portneuf outlined. "Regence routinely denies a substantial portion of claims for medically necessary care provided to patients covered by their plans and has millions of dollars in unpaid claims owed to Portneuf."

Portneuf also accused Regence of "taking the position that patients covered by theiur plans can skeek care outside their community rather than reaching a fair agreement with local providers.

In a statement to Local News 8, officials at Regence Blueshield of Idaho

"Although Regence’s prior long-standing contract with the operators of Portneuf Medical Center has lapsed, negotiations continue at an accelerated pace. Regence customer service is – as always – available to answer questions about coverage for ongoing care, emergency services and alternative provider options. As an Idaho not-for-profit insurer, we remain committed to ensuring any new agreement respects the healthcare affordability needs of our members, while fairly compensating the systems and professionals that provide care."

Negotiations between Portneuf Health and Regence BlueShield of Idaho have been ongoing for months, but significant issues remain unresolved.

As of June 15, Portneuf Medical Center, its facilities and employed providers are considered out of network for all Regence insurance plans.

Portneuf said emergency services will continue to be covered at in-network benefit levels. Some patients may also qualify for continuity-of-care protections and are encouraged to contact Regence directly for more information.

Patients with questions about their coverage are encouraged to contact Regence BlueShield of Idaho or visit Portneuf's network update page for the latest information.