Provider Remittance Advices
We are aware of provider remittance advices not populating into your portal. We are actively working on getting this resolved.
  • P = Professional
  • B = Behavioral health
  • F = Facilities

BCBSRI Update

P F
May 16, 2022
As you may know, BCBSRI uses InterQual® Criteria Guidelines (InterQual) offered through Change Healt...
P B F
May 1, 2022
Your office could see an increase time for claims processing for some Direct Pay member claims. If a...
P B F
May 1, 2022
How to view authorizations BCBSRI providers can view authorizations in the MHK provider portal by e...
P F
May 1, 2022
Subset: Transcatheter Aortic Valve Replacement (TAVR) April 2022 IQ Revisions Patients with asympto...
P B F
Apr 1, 2022
Please note, providers contracted with BCBSRI and utilizing our provider portal should not check the...
P B F
Mar 16, 2022
We want to provide you with an update regarding the implementation of the NYC Medicare Advantage Plu...
P
Mar 1, 2022
As a reminder, the Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey will be se...
P
Mar 1, 2022
Effective December 2021, the following changes are in effect regarding Medicare LCD for epidural ste...
P B F
Mar 1, 2022
Upon enrollment, our members are granted certain rights and protection of these rights in all their ...
P F
Mar 1, 2022
Effective February 2022, IQ Medicare Module InterQual® 2021, Dec. 2021 Release, Medicare: Procedures...
F
Feb 25, 2022
BCBSRI will resume prior authorization for Skilled Nursing admission effective March 1, 2022....
F
Feb 3, 2022
Effective 12/31/2021 through 2/28/2022  BCBSRI will suspend prior authorization requirements for Ski...
P
Feb 1, 2022
Every March, the Centers for Medicare and Medicaid Services (CMS) sends our members the Medicare Con...
P
Feb 1, 2022
You may have patients eligible for HouseCall by Blue, a home-based medical care program offered by B...
P B F
Feb 1, 2022
On April 1, 2022, City of New York retirees plan will transition from Traditional Medicare + Supplem...
P
Feb 1, 2022
Effective December 2021: LCD Name Change - Lumbar Epidural Injections (L35937) National Government ...
P B F
Jan 1, 2022
BCBSRI encourages its participating providers to collaborate with us in supporting LGBTQ communities...
P F
Jan 1, 2022
The Centers for Medicare and Medicaid Services (CMS) reminds Medicare Advantage Organizations (MAOs)...
P B F
Jan 1, 2022
Questions about Special Enrollment Periods (SEPs)? By now, you’ve heard the news that all of our 2...
P B F
Jan 1, 2022
Good news!  In 2022, BCBSRI has formed a relationship with a company called PAPA to provide “in home...
P B F
Dec 22, 2021
Good news!  In 2022, BCBSRI has formed a relationship with a company called PAPA to provide “ in hom...
P B F
Dec 16, 2021
Questions about Special Enrollment Periods (SEPs)? By now, you’ve heard the news that all of our 2...
P F
Dec 1, 2021
The Centers for Medicare and Medicaid Services (CMS) reminds Medicare Advantage Organizations (MAOs)...
P B F
Dec 1, 2021
Any BCBSRI group that renews in 2022 will receive new ID cards for their employees which will includ...