Read Provider Update
This monthly newsletter delivers updates on policies, changes to benefits, and other news you need to know.
- P = Professional
- B = Behavioral health
- F = Facilities
BCBSRI Update
P F
Nov 1, 2024
BCBSRI is committed to supporting primary care providers and is excited to announce additional reimb...
P F
Nov 1, 2024
Effective January 1, 2025, BCBSRI will be removing the non-skilled benefit for all Medicare Advantag...
P F
Nov 1, 2024
Effective January 1, 2025, authorization request for infertility services for our fully insured memb...
Provider Relations
P B F
Nov 1, 2024
BCBSRI invites our participating providers to join us on Tuesday, November 12 from 10-11 a...
P B F
Nov 1, 2024
Tiering and formulary updates for Medicare members: 470 drugs moving off formulary 936 dru...
P B F
Nov 1, 2024
PCP $0 cost sharingAll PCP visits (including sick visits) will now have a $0 copay for dates of serv...
Physician & Provider Call Center
P B F
Jul 1, 2023
As a reminder, there is a functionality on the BCBSRI Provider Portal that allows providers to send ...
P B F
Jun 1, 2021
Did you know our secured Physician and Provider Portal offers the following:
•Check me...
Quality
P
Nov 1, 2024
Screenings for members with diabetesBCBSRI’s PQIP program currently includes three diabetes-specific...
P
Oct 1, 2024
Preventive care measures in HEDIS are designed to ensure that patients receive essential screenings ...
P
Sep 1, 2024
The BCBSRI Quality Team would like to remind all primary care providers participating in the PCP Qua...
Behavioral Health
P F
Nov 1, 2024
Effective January 1, 2025, BCBSRI will be moving from facility contracting and billing and will star...
B
Nov 1, 2024
Alzheimer’s is a type of dementia that progresses over time, and persons affected eventually can los...
B
Nov 1, 2024
National Caregiver Month is a time to recognize the millions of Americans who provide care to loved ...
Pharmacy
P F
Nov 1, 2024
As part of our ongoing efforts to make high-quality and affordable healthcare available to our membe...
P B F
Nov 1, 2024
The Medicare Prescription Payment Plan is a new payment option in the prescription drug law that wor...
P F
Oct 22, 2024
As part of our ongoing efforts to make high-quality and affordable healthcare available to our membe...
Products & Benefits
P B F
Dec 1, 2019
In the large group portfolio, we will also be adding eight Network Blue New England Options plans, a...
P B F
Dec 1, 2019
Our regional BlueCHiP family is expanding in the small group market with Effective January 1, 2020, ...
P B F
Dec 1, 2019
Effective January 1, 2020, BCBSRI will become the insurer for all Lifespan employees. Below is a qui...
Claims
P B F
Apr 1, 2024
BCBSRI is not a PPO network sharing plan. We are not allowed to price based on our participating pro...
P B F
Jan 1, 2024
BCBSRI claims department has seen an increase in claims rejecting for no eligibility because claims ...
P B F
Nov 1, 2023
If you are correcting a claim due to an audit finding, you must submit Medical Records with your cor...
Policies
P F
Nov 18, 2024
We have completed our review of the January 2025 current procedural terminology (CPT) including any ...
P
Nov 1, 2024
BCBSRI is committed to supporting primary care providers and is excited to announce additional reimb...
P F
Nov 1, 2024
Arthrotomy for Temporomandibular Joint (TMJ) Effective January 1, 2025, CPT code 21010 wil...