• P = Professional
  • B = Behavioral health
  • F = Facilities

Provider Relations

P B F
Jan 1, 2023
BCBSRI encourages its participating providers to collaborate with us in supporting LGBTQ communities...
P B F
Dec 1, 2022
Coming in mid-January BCBSRI is introducing an updated version of our IVA. The new IVA will be able ...
P B F
Dec 1, 2022
Recently National Grid was bought out by Rhode Island Energy. With this purchase, their employees’ i...
P F
Dec 1, 2022
BCBSRI currently uses eviCore for high-end radiology and cardiology prior authorizations. Effective ...
P B F
Dec 1, 2022
Medicare’s Annual Enrollment Period is now in effect and runs until December 7, for coverage effecti...
P B F
Dec 1, 2022
Blue Cross & Blue Shield of Rhode Island (BCBSRI) has once again earned the highest Star rating ...
P B F
Dec 1, 2022
BCBSRI has seen an increase in claims processed by out-of-network providers or laboratories which we...
P B F
Dec 1, 2022
Effective January 1, 2023, all existing and new Blue RI for Duals (D-SNP) members will receive new I...
P
Dec 1, 2022
If you are a contracted urgent care center, you must file claims as a group and not at the individua...
P B F
Nov 1, 2022
The Centers for Medicare & Medicaid Services (CMS) reminds Medicare Advantage Organizations to c...
P B F
Nov 1, 2022
BlueCHiP for Medicare Advance  Effective January 1, 2023, BlueCHiP for Medicare Advance (Advance) ...
P B F
Nov 1, 2022
Medicare’s Annual Enrollment Period is now in effect and runs until December 7, for coverage effecti...
P B F
Nov 1, 2022
BCBSRI has once again earned the highest Star rating possible – 5 out of 5 Stars – from the Centers ...
P B
Nov 1, 2022
BCBSRI has seen an increase in claims processed by out-of-network providers or laboratories which we...
P F
Nov 1, 2022
Effective January 1, 2023, all existing and new Blue RI for Duals (D-SNP) members will be receiving ...
P
Nov 1, 2022
If you are a contracted urgent care center, you must file claims as a group and not at the individua...
P B F
Oct 19, 2022
As introduced in 2022, the Blue for RI Duals (D-SNP) provider network includes all facilities, speci...
P F
Oct 1, 2022
Below are screen shots showing how you can obtain an authorization for an out of area member through...
P B F
Oct 1, 2022
The Centers for Medicare and Medicaid Services (CMS) reminds Medicare Advantage Organizations to con...
P B F
Oct 1, 2022
Utilization Review of Behavioral Health Services BCBSRI is moving from requiring prior authorizatio...
P B F
Sep 1, 2022
Effective July 1, 2022, BCBSRI requires the National Drug Code (NDC) to be filed on all claims submi...
P B
Sep 1, 2022
Did you know that you do not have to use your Social Security Number as your insurance billing TAX-I...
P F
Sep 1, 2022
BCBSRI remains committed to improving the health of our members by providing access to high quality,...
P B F
Aug 1, 2022
Effective July 1, 2022, BCBSRI requires the National Drug Code (NDC) to be filed on all claims submi...