BCBSRI now offers practitioners a new resource guide, Practitioner Trainings on Physical Accommodati...

As of January 1, 2027 there will be updates to the following InterQual Criteria subsets: CP: Procedu...

Propio is BCBSRI’s new interpreter vendor replacing all current interpreter vendors we use today. Pr...

BCBSRI’s Safe Zone Program recognizes healthcare practices and community-based organizations formall...

We received an update from Anthem regarding Anthem member claims being denied with the explanation t...

In November, Rhode Island will join communities near and far in recognizing World Diabetes Day and N...

Providers should understand who may request an appeal, also known as a reconsideration, for a Medica...

Effective January 1, 2027, in partnership with eviCore, BCBSRI will expand eviCore’s authorization m...

Effective January 1, 2027, behavioral health specialties will be in-network for the BlueCHiP Direct ...

Starting with the 2027 plan year, Medicare Advantage members will not receive a new ID card unless t...

As part of Blue Cross & Blue Shield of Rhode Island’s (BCBSRI) implementation of the CMS-0057 Intero...

Blue Cross & Blue Shield of Rhode Island (BCBSRI) will introduce Virtual Primary Care (VPC) through ...

This is a new policy created with an effective date of January 1, 2027. OB services will no longer ...

This policy was renamed to: Fee-based Primary Care Network Providers Services (Formerly known as: P...

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

As part of BCBSRI's implementation of the CMS-0057 Interoperability and Prior Authorization Final Ru...

Starting October 1, 2026, offices experiencing a HealthTrio password issue, including password reset...

In November, Rhode Island will join communities far and wide in recognizing World Diabetes Day and N...

Effective October 1, 2026, BCBSRI will implement a correct coding edit within our claims processing ...

We are committed to ensuring the accuracy of the information in our Find a Doctor tool, the online d...

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

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

BCBSRI has a new interpreter services vendor. Propio is the new interpreter vendor replacing all cur...

In July 2024, BCBSRI began performing additional prepayment claim reviews utilizing Optum’s Comprehe...