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To:	Medical Device/ Technology Manufacturer Account Representatives and Medical Science Liaisons
Subject:	Submission of Clinical Data to Regence Medical Policy Staff and Medical Directors *

All requests and inquiries concerning Regence medical policies that are related to medical devices and technologies must be directed to:

Michele Galvan
Michele.Galvan@regence.com

Please do not contact individual Regence medical directors or medical policy clinicians.

When submitting data on a new or existing medical technology, please send an email to Michele Galvan with the information below:

A subject line that states the type of technology (existing or new) and the specific technology name
A detailed description of the request and desired outcome. Please be as specific as possible and include copies of relevant, published, peer-reviewed studies.
Completion of the Medical Device/Technology Questionnaire, if applicable (see attachment)

At this time, meetings are not routinely scheduled. If a meeting is required to further discuss the submitted evidence, Regence will contact the vendor representative.

*Note:

Meeting requests to discuss utilization management or case management programs must be emailed to: procurement@regence.com. Please include as much detail as possible concerning the proposed agenda.


	The Blue Cross and/or Blue Shield Plans comprising The Regence Group serve Idaho, Oregon, Utah and much of Washington state. The Regence Group and each of its affiliate Plans are independent licensees of the Blue Cross and Blue Shield Association.