We are aware of Anthem member claims denying with the explanation that the provider is contracted di...

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

As a reminder, Astrana Health (formally Prospect) changed their telephone numbers on May 5, 2026. Ph...

Effective August 1, 2026, there will be updates to the following InterQual criteria subsets: CP...

Happy Pride Month! At BCBSRI, our mission is to advance health and well-being for all Rhode Islander...

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

BCBSRI is committed to providing our members with access to high-quality healthcare that is consiste...

Effective May 1, 2026, Carelon will expand operations to seven days per week for our Medicare member...

Effective July 1, 2026, there will updates to the following InterQual Criteria subsets:   ...

, Astrana Health (formally Prospect) is changing their telephone numbers on May 5, 2026. Phon...

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

BCBSRI is committed to providing our members with access to high-quality healthcare that is consiste...

We are pleased to share an important update regarding annual well-visits for our Medicare Advantage ...

Effective May 1, 2026, Carelon will expand operations to seven days per week for our Medicare member...

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...

Effective week of March 24th, Providers/Provider Groups with NPI’s 1720073738 – 999999999 and FEP RA...

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

As we approach the annual Medicare Consumer Assessment of Healthcare Providers and Systems (CAHPS®) ...

BCBSRI is committed to providing our members with access to high-quality health care that is consist...

We are pleased to share an important update regarding Annual Well Visits for our Medicare Advantage ...

Effective May 1, 2026, Carelon will expand operations to seven days per week for our Medicare member...

BCBSRI plan 65 G and N no longer pay the member’s Part B Deductible and the member is liable for the...

When BCBSRI member Steven was diagnosed with stage 3 colorectal cancer, he was overwhelmed, but grat...