• P = Professional
  • B = Behavioral health
  • F = Facilities

BCBSRI Update

P
Oct 1, 2026
Starting October 1, 2026, offices experiencing a HealthTrio password issue, including password reset...
P B F
Oct 1, 2026
In November, Rhode Island will join communities far and wide in recognizing World Diabetes Day and N...
P F
Oct 1, 2026
Effective October 1, 2026, BCBSRI will implement a correct coding edit within our claims processing ...
P B F
Oct 1, 2026
We are committed to ensuring the accuracy of the information in our Find a Doctor tool, the online d...
P B F
Oct 1, 2026
The Centers for Medicare and Medicaid Services (CMS) reminds Medicare Advantage Organizations to con...
P B
Oct 1, 2026
BCBSRI has seen an increase in claims processed by out-of-network providers or laboratories which we...
P F
Oct 1, 2026
BCBSRI has a new interpreter services vendor. Propio is the new interpreter vendor replacing all cur...
P B F
Oct 1, 2026
In July 2024, BCBSRI began performing additional prepayment claim reviews utilizing Optum’s Comprehe...
P B F
Oct 1, 2026
BCBSRI’s Safe Zone Program recognizes healthcare practices and community-based organizations formall...
P B F
Oct 1, 2026
We received an update from Anthem regarding Anthem member claims denying with the explanation that t...
P B F
Oct 1, 2026
Starting with the 2027 plan year, Medicare Advantage members will not be receiving a new ID card unl...
P B F
Oct 1, 2026
To offer best-in-class services related to utilization management (UM) functions, we are pleased to ...
P F
Sep 1, 2026
Effective October 1, 2026, BCBSRI will implement a correct coding edit within our claims processing ...
P F
Sep 1, 2026
Effective July 13, eviCore no longer allows authorizations to be entered into their authorization po...
P B F
Sep 1, 2026
, , To offer best-in-class services related to utilization management (UM) functions, we are ...
P F
Aug 1, 2026
Effective October 1, 2026, BCBSRI will implement a correct coding edit within our claims processing ...
P F
Aug 1, 2026
Effective July 13th, eviCore will no longer allow authorizations to be entered into their authorizat...
P B F
Aug 1, 2026
To offer best-in-class services related to utilization management (UM) functions, we are pleased to ...
P F
Aug 1, 2026
Effective July 1, 2026, Astrana Health transitioned to a new utilization management system. Pro...
P
Jul 13, 2026
Effective July 13th, eviCore will no longer allow authorizations to be entered into their authorizat...
P B F
Jul 1, 2026
 To offer best-in-class services related to utilization management (UM) functions, we are pleas...
P B F
Jul 1, 2026
Primary care providers (PCPs) accept responsibility for arranging and coordinating members’ overall ...
P B
Jul 1, 2026
BCBSRI is actively pursuing National Committee for Quality Assurance (NCQA) Health Equity Accreditat...
P B F
Jul 1, 2026
BCBSRI is not a PPO network sharing plan. We are not allowed to price based on our participating pro...