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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
Dec 1, 2020
As you know, BCBSRI’s temporary payment policy for telemedicine/telephone services is in effect unti...
P B F
Nov 1, 2020
In its recently released Health of America Report® – “Millennial Health: Trends in Behavioral Health...
P B F
Oct 1, 2020
BCBSRI member “Kate” visits her specialist for an office visit. The specialist recommends that she h...

BCBSRI Update

P F
Dec 1, 2020
BCBSRI is taking an additional step to support its members during the COVID-19 crisis. Effective fo...
P B F
Dec 1, 2020
BCBSRI has updated its Payment Policies for Telemedicine/Telephone Services for Commercial and Medic...
P
Dec 1, 2020
BCBSRI’s Primary Care Provider Performance Ratings program highlights strong performing providers co...

Provider Relations

P B F
Oct 1, 2020
We have updated the credentialing form for new providers looking to become participating BCBSRI prov...
P B F
Sep 1, 2020
During the COVID-19 pandemic, we’ve had to rethink our in-person fall seminars and have opted to con...
P B F
Aug 1, 2020
Electronic attestations are now live on our secure provider portal and have replaced fax attestation...

Quality

P
Nov 1, 2020
BCBSRI is committed to making it easier for your practice to be successful in all areas of quality i...
P
Oct 1, 2020
BCBSRI is committed to making it easier for your practice to be successful in all areas of quality i...
P
Sep 1, 2020
BCBSRI is committed to making it easier for your practice to be successful in all areas of quality i...

Behavioral Health

P B
Nov 12, 2020
Program overview: The Dementia Care Coordination Program is an evidence-informed intervention based ...
B
Sep 1, 2020
Every September, the Substance Abuse and Mental Health Services Administration (SAMHSA) sponsors Nat...
B
Sep 1, 2020
If a provider renders methadone maintenance services to a BCBSRI commercial member who has federal M...

Pharmacy

P B F
Aug 1, 2020
BCBSRI offers home delivery option or an extended supply network pharmacy for new prescriptions or r...
P F
Aug 1, 2020
The following codes are being added to Medicare MDR with a 10/1/20 effective date (effective 10/1/20...
P F
Jun 1, 2020
Due to the COVID-19 pandemic, BCBSRI has extended all clinical authorization approvals by Prime Ther...

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
Nov 1, 2020
BCBSRI has updated our system to reflect the new CMS Hospital Bill Type/Class (087) that becomes eff...
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...

Policies

P F
Dec 1, 2020
Effective January 1, 2021, the policy for Retinal Telescreening for Diabetic Retinopathy has been up...
P F
Dec 1, 2020
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P B F
Dec 1, 2020
The following new policies have been created. Effective dates vary so please review the full text of...
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