As a reminder, when filing with Medicare first when a member has Coordination of Benefits, please en...

Arkansas Blue will begin using Skai Blue for national account members starting in 2025, which means ...

As a reminder, please ensure you are reviewing the 2026 benefit booklets once they are available&nbs...

Effective January 1, 2026, in partnership with eviCore, BCBSRI will be expanding eviCore’s authoriza...

Effective December 1, 2025, providers who are credentialed as an Oncologist affiliated with Brown Ca...

Effective January 1, 2026, CMS is updating the turnaround time (TAT) requirement for routine cases f...

Effective November 1, 2025, all related readmission appeal requests/documentation must be submitted ...

BenefitsImprovements: All telemedicine visits will have a $0 cost share. All services rendered as te...

Upcoming portfolio updates for January 2026 in the individual marketEffective January 1, 2026, we ar...

To offer best-in-class services related to utilization management (UM) functions, we are pleased to ...

As a reminder, any claim denied with a lower case “b” has been denied by Optum. All medical records ...

As communicated in the past few months, effective October 1, 2025, providers who are credentialed as...

At BCBSRI, we continue to improve our members’ health and peace of mind by facilitating their access...

As a reminder, any claim denied with a lower case “b” has been denied by Optum. All medical records ...

BCBSRI has been selected for a CMS Risk Adjustment Data Validation (RADV) audit for diagnoses captur...

To offer best-in-class services related to utilization management (UM) functions, we are pleased to ...

BCBSRI has seen an increase in claims processed by out-of-network providers or laboratories which we...

The Centers for Medicare and Medicaid Services (CMS) reminds Medicare Advantage Organizations to con...

As a reminder, Advance Notices of Noncoverage (ANN) are not recognized for Medicare Advantage Plans....

Effective November 1, 2025, all related readmission appeal requests/documentation must be submitted ...

As a reminder, if you are a contracted Urgent Care Center, you must file claims as a group and not a...

BenefitsImprovements: All telemedicine visits will have a $0 cost share. All services rendered as te...

Upcoming Portfolio Updates for January 2026 in the Individual MarketEffective January 1, 2026, we ar...

Now that Medicare has stopped allowing telehealth for non-behavioral health services, how will this ...