On this page
Most doctors will be either Primary Care or Specialty providers, and you should see providers affiliated with your UMP Plus network. Use the “Start my search” link to find one of these providers.
Ancillary: Most other providers are considered ancillary. You may see either a UMP Plus or a Regence network provider for these services and receive network-level services. Examples of ancillary providers include physical therapists, mental health providers, and hospice. Use the “Start my search” link to find one of these providers.
ALERT! If you receive non-emergency services from a network provider at a non-network or out-of-network facility, the plan pays charges by the facility at 50 percent, and out-of-network facilities may balance bill you; see a few exceptions to this.
- Hospitals: For most inpatient hospital services, you should visit a hospital affiliated with your UMP Plus network. Find a UMP Plus hospital.
- Emergency services: In case of a medical emergency, any emergency room will be paid at the network rate (the plan pays 85 percent of the allowed amount for most covered services). However, for “out-of-network” emergency room providers (not contracted with Regence), the provider may balance bill you. Find a network emergency provider.
- Urgent care: You receive network-level benefits for both UMP Plus and Regence network providers for urgent care services. However, out-of-network urgent care providers are paid at the out-of-network rate (you pay 50 percent of the plan allowed amount) and the provider may balance bill you. Find a network urgent care provider.
Note: Because Regence is actively recruiting ABA Therapy Agencies and providers, please contact UMP Customer Service at 1-888-849-3681 to assist you with finding an ABA Therapy provider. They can also help you find providers who can diagnose autism or confirm an autism diagnosis. If a preferred provider is not available in your area, you may request that a case manager contact you to assist with the next steps in seeking coverage.
The plan pays for covered services only when performed by a covered provider type. All network and non-network providers are covered provider types.
If you see an out-of-network provider that is not a covered provider type, the plan will not pay for any of the services received; you will be responsible for all charges. As with all noncovered services, any payments you make to a noncovered provider type will not apply toward your medical deductible or medical out-of-pocket limit.
|Provider specialty type code||Provider specialty type name|
|ARNP||Advanced Registered Nurse Practitioner|
|CCCA||Cert of Clinical Competence/Audiology|
|CGC||Certified Genetics Counselor|
|CNFA||Certified Nurse First Assist|
|CNM||Certified Nurse Midwife|
|CRNA||Certified Registered Nurse Anesthetist|
|CRNFA||Certified Registered Nurse First Assist|
|DC||Doctor of Chiropractic|
|DDS||Doctor of Dental Surgery|
|DMD||Doctor of Dental Medicine|
|DO||Doctor of Osteopathy|
|DPM||Doctor of Podiatric Medicine|
|EAMP||East Asian Medicine Practitioner|
|LCPC||Licensed Clinical Professional Counselor|
|LCSW||Licensed Clinical Social Worker|
|LICSW||Licensed Independent Clinical Social Worker|
|LMFT||Licensed Marriage/Family Therapist|
|LMHC||Licensed Mental Health Counselor|
|LMT||Licensed Massage Therapist|
|LMSW||Licensed Master Social Worker|
|MD||Doctor of Medicine|
|MSW||Masters in Social Work|
|ND||Doctor of Naturopathy|
|OTR||Registered Occupational Therapist|
|PAC||Physician Assistant Certified|
|PMHNP||Psych. Mental Health Nurse Practitioner|
|PSYD||Doctorate in Psychology|
|RNFA||Registered Nurse First Assist|
|RNSA||Registered Nurse Surgical Assistant|
|RPT||Registered Physical Therapist|
|SLP||Speech Language Pathologist|