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

A Word from Dr. Collins

P B F
Aug 1, 2021
In the 1950s and 1960s, the doctor’s housecall was a normal occurrence, and regular visits by doctor...
P B F
Jul 1, 2021
Blue Cross and Blue Shield of Rhode Island's (BCBSRI) vision of passionately leading a state of heal...
P B F
Jun 1, 2021
The primary care structure in the U.S. is in the midst of a very important overhaul. For too long, p...

BCBSRI Update

P F
Aug 1, 2021
eviCore updated processing rules on July 14th for all Medicare code change requests.  The new proc...
P B F
Aug 1, 2021
BCBSRI encourages its participating providers to collaborate with us in supporting LGBTQ communities...
P B F
Jul 1, 2021
Throughout the pandemic, healthcare workers’ top priority, as always, was the health and safety of t...

Provider Relations

P B F
Aug 1, 2021
BCBSRI will conduct administrative terminations of provider agreements for providers who have not su...
P B F
Jul 1, 2021
BCBSRI is committed to improving the health of our members by providing access to high quality, cost...
P B F
Jul 1, 2021
Please mark your calendars for the next provider conference call with the Director of Provider Relat...

Physician & Provider Call Center

P B F
Jun 1, 2021
  Did you know our secured Physician and Provider Portal offers the following: •Check member benef...

Quality

P
Aug 1, 2021
Breast cancer screening Women ages 50-74 who had a mammogram to screen for breast cancer in the pas...
P
Jul 1, 2021
Developmental screening in the first three years of life For members one to three years of age, the...
Jun 1, 2021
PRENATAL & POSTPARTUM CARE (PPC) Eligible population: Delivered a live birth on or between Octo...

Behavioral Health

P B
Jul 1, 2021
All behavioral health providers, including psychiatrists, clinical nurse specialists, psychiatric nu...
B
May 1, 2021
The Dementia Care Coordination Program is a referral-based program based on a Veterans Administratio...
P B F
Apr 1, 2021
April is National Alcohol Awareness Month. Founded and sponsored by the National Council on Alcohol ...

Pharmacy

P F
Aug 1, 2021
As part of our ongoing efforts to make high-quality and affordable healthcare available to our membe...
P B F
Jul 1, 2021
The information below is effective July 1, 2021 and applies only to the individual market segment in...
P B F
Jul 1, 2021
The information below is effective July 1, 2021 and applies to all commercial employer groups that a...

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 F
Jul 1, 2021
As a reminder, when filing a claim for an unlisted procedure code, please include the Unlisted Proce...
P B F
Jun 1, 2021
As a reminder, when filing a claim for an unlisted procedure code, please include the Unlisted Proce...
P B F
May 1, 2021
As a reminder, when filing a claim for an unlisted procedure code, please include the Unlisted Proce...

Policies

P F
Aug 1, 2021
As a reminder to all providers, effective January 1, 2021, BCBSRI updated the Prolonged Physician Se...
P F
Aug 1, 2021
Effective September 1, 2021, for Medicare Advantage plans and commercial products, the current unit ...
P F
Aug 1, 2021
Effective October 1, 2021, the policy for Surgical Treatments for Breast Cancer-Related Lymphedema i...
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