Welcome
Log In to My Account
 |
|
BlueLine
(401) 272-1590 or 1-800-327-6712
Routine membership, eligibility, benefit information, and claims status for all Blue Cross & Blue Shield of Rhode Island members
Hours: 24 hours a day, seven days a week
Download instructions on how to use BlueLine.
Out-of-State Plans
1-800-676-BLUE (2583)
Membership and eligibility information for your Blue Cross and Blue Shield BlueCard members
Hours: 24 hours a day, seven days a week
Physician and Provider Service Center
(401) 274-4848 or 1-800-230-9050
Complex claims inquiries, policies and procedures, business practice change requests, and Web access information
Hours: Monday through Friday, 8:00 a.m. to 4:30 p.m.
Facility Call Center
(401) 274-3103 or 1-800-637-3718, ext. 6067
Fax: (401) 459-2287
Hospital and facility claims inquiries, policies and procedures, and Web access information
Hours: Monday through Friday, 8:00 a.m. to 4:30 p.m.
Federal Employee Program (FEP) Call Center
(401) 831-0153 or 1-800-377-4418
Fax: (401) 459-2709
Patient benefit and eligibility information, referral questions, and claims inquiries specific to FEP members.
Hours: Monday through Friday, 8:00 a.m. to 4:30 p.m.
Provider Relations
(401) 274-4848 or 1-800-230-9050
Fax: (401) 459-5531
Physician/provider education, responsibilities, and policies and procedures
Hours: Monday through Friday, 8:00 a.m. to 4:30 p.m.
Credentialing Department
(401) 274-4848 or 1-800-230-9050
Fax: (401) 459-1369
Status of a credentialing application
Hours: Monday through Friday, 8:00 a.m. to 4:30 p.m.
Blue Cross Dental
(401) 453-4700 or 1-800-831-2400
Fax: (401) 459-2287
Patient membership and eligibility, enrollment applications, dentists/staff education and responsibilities, changes in provider status, policies and procedures, and claims inquires
Hours: Monday through Friday, 8:00 a.m. to 4:30 p.m.
Electronic Data Interchange (EDI) Outreach & Support Team
1-855-721-4211
Email: hipaa.edi.support@bcbsri.org
Information about HIPAA transactions and code sets testing, etc.
Hours: Monday through Friday, 8:00 a.m. to 4:30 p.m.
Information Technology (IT) Service Desk
1-855-721-4211
Production problems with HIPAA transactions, issues with electronic claims transmissions, or difficulty retrieving Provider Control Reports
Hours: 24 hours a day, seven days a week
Health Management and Integration - Health Services Management
(401) 272-5670 or 1-800-635-2477
Fax: (401) 272-8885
Inpatient admissions, emergency admission notification, cosmetic surgery reviews, out-of-state inpatient services, out-of-network services, speech therapy, outpatient pulmonary rehabilitation, experimental/investigational reviews, and other reviews necessary according to medical policy, such as gastric bypass surgery, Oncotype, preauthorization for durable medical equipment, acute inpatient rehabilitation, and private duty nursing
Hours: Monday through Friday, 8:00 a.m. to 4:30 p.m.
Health Management and Integration - Care Coordination Referrals
(401) 459-2273 or 1-800-637-3718, ext. 2273
Fax: (401) 459-5804
To refer members with complex health conditions for health education, coordination of care, and assistance in self-managing health conditions.
Hours: Monday through Friday, 8:00 a.m. to 4:30 p.m.
Let us know what you think.
It only takes a couple of minutes and will help us improve our service.