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
Jul 1, 2020
Think back to pre-pandemic times, when telemedicine—although used increasingly in recent years—was p...
P B F
Jun 1, 2020
As the COVID-19 pandemic continues, one thing has remained – BCBSRI is committed to our members, our...
P B F
May 1, 2020
As the COVID-19 pandemic continues, physical health is of course still top of mind for all of us. Ob...

BCBSRI Update

P F
Jul 6, 2020
Effective July 8, 2020 BCBSRI will resume prior authorization requirements for all products for the ...
P B F
Jul 1, 2020
The Temporary Telemedicine Telehealth and Telephone Services During the COVID 19 Crisis policy, effe...
P B F
Jun 1, 2020
The Temporary Telemedicine Telehealth and Telephone Services During the COVID 19 Crisis policy, effe...

Provider Relations

P B F
Jul 1, 2020
BCBSRI’s Provider Relations team understands that our in-person fall seminars may not be ideal given...
P F
Jul 1, 2020
The MHK portal has a new feature available for providers. If your office has submitted a request thr...
P B F
Jul 1, 2020
Electronic attestations are now live on our secure provider portal and have replaced fax attestation...

Quality

P
Jul 1, 2020
BCBSRI is committed to making it easier for your practice to be successful in all areas of quality i...
P
Jun 1, 2020
BCBSRI is committed to making it easier for your practice to be successful in all areas of quality i...
P
Jan 1, 2020
The following CPT Category II Codes have been updated by the American Medical Association (AMA). Ple...

Behavioral Health

B
May 1, 2020
Our behavioral health partner, Beacon Health Options, is offering a series of webinars for the provi...
B
May 1, 2020
Mental Health Month was started in 1949 by the national organization Mental Health America to raise ...
B
Mar 1, 2020
The HEDIS measure Follow-Up Care for Children Prescribed ADHD Medication (ADD) is the percentage of ...

Pharmacy

P F
Jun 1, 2020
Due to the COVID-19 pandemic, BCBSRI has extended all clinical authorization approvals by Prime Ther...
P F
May 1, 2020
Effective May 1, 2020, Lifespan employee group will begin covering medical specialty drugs under the...
P F
May 1, 2020
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
Jul 1, 2020
Effective for claims received on and after October 5, 2020,  electronically submitted secondary clai...
P F
Apr 1, 2020
If a member receives the same radiology procedure multiple times on the same day from different prov...
P F
Apr 1, 2020
During the COVID-19 pandemic, eviCore has increased their authorization span from 90 to 180 days. An...

Policies

P F
Jul 1, 2020
We have completed our review of the additional CPT and HCPCS code changes for July 2020. These updat...
P F
Jul 1, 2020
Effective September 1, 2020 there will be a change in the health services codes to be submitted for ...
P F
Jul 1, 2020
The following policies were recently reviewed for annual update. The full texts of these policies ar...
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