Loading...Loading...Provider search on our authenticated member website and Regence app now features provider performance ratings to help members identify high-performing, high-value, in-network providers. Ratings are based on objective, third-party data and analytics, as well as health plan claims data, and evaluate physicians based on a comprehensive evaluation of evidence-based medicine (quality and appropriateness of care) and cost efficiency.
- For members, higher-rated providers appear at the top of search results, although results can still be sorted according to their preference, such as by distance or name.
- For physicians, these ratings showcase your commitment to quality and value, helping connect you to patients who will benefit most from your expertise.
Provider Performance Scorecards
Physicians can access personalized Provider Performance Scorecards that include:
- Their overall rating level
- Detailed breakdowns of performance in each evaluation category
- Comparison to peer benchmarks
- Specific metrics that influence ratings
- Suggestions for improvement in performance
To view your scorecard, sign into Availity Essentials: Payer Spaces>Provider Reports>Credentialing & Maintenance Reports>Provider Performance Report.
Learn more
Sign into Availity Essentials: Regence Payer Spaces>Resources>Provider Performance Ratings to view:
- A comprehensive guide to provider performance ratings
- An overview of Provider Performance Scorecards
- Answers to frequently asked questions
- Detailed information about the reconsideration process
- Performance measure guides
Read more about provider performance ratings in the May special edition and June issues of our newsletter.
6/30/2025
We identified a minor display issue affecting some Provider Performance Scorecards recently made available via Availity Essentials. This issue specifically impacts the presentation of quality metrics related to complication rates.
What you should know:
- All critical data in all scorecards is accurate, including case counts, measure rates, benchmarks, state averages and impact scores.
- The issue only affects how complication rate metrics are visually presented.
Specific display issues:
- Incorrect distance calculations from the Range of Best Practices (ROBP)
- Inappropriate red highlighting on rows where results are within acceptable ranges
- Mislabeled "Compliant Cases" column for complication metrics
Our action plan: We will publish corrected scorecards on Availity Essentials by end of day June 25, 2025. The updated scorecards will maintain the same accurate performance data while correcting these visual presentation issues.
What you need to do:
- No immediate action is required on your part.
- Continue using your current scorecard for reference, knowing the underlying data is correct.
- After June 25, please download your updated scorecard from Availity Essentials.
We apologize for any confusion this may have caused.
6/25/2025
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