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

Pharmacy

P B
Oct 1, 2018
Consistent with our management practice, October 1, 2018 marked the next scheduled update of the BCB...
P B F
Sep 1, 2018
Effective October 1, 2018, the BCBSRI Pharmacy Formulary will be updated to remove the generic equiv...

Products & Benefits

P B F
Dec 1, 2019
In the large group portfolio, we will also be adding eight Network Blue New England Options plans, a...
P B F
Dec 1, 2019
Our regional BlueCHiP family is expanding in the small group market with Effective January 1, 2020, ...
P B F
Dec 1, 2019
Effective January 1, 2020, BCBSRI will become the insurer for all Lifespan employees. Below is a qui...
P B F
Dec 1, 2019
Effective January 1, 2020, BCBSRI will become the insurer for all State of Rhode Island employees. T...
P B F
Nov 1, 2019
In the large group portfolio, we will also be adding eight Network Blue New England Options plans, a...
P B F
Nov 1, 2019
Our regional BlueCHiP family is expanding in the small group market with the addition of Network Blu...
P B F
Nov 1, 2019
Effective January 1, 2020, BCBSRI will become the insurer for all Lifespan employees. Below is a qui...
P B F
Nov 1, 2019
Effective January 1, 2020, BCBSRI will become the insurer for all state of Rhode Island employees. T...
P B F
Jan 1, 2019
Effective October 1, 2018, BCBSRI launched a new product family, Access Blue New England. It will be...
P B F
Jan 1, 2019
Effective January 1, 2019, the Blue Cross and Blue Shield Federal Employee Program® (FEP) is launchi...
P B F
Jan 1, 2019
Upon enrollment, our members are granted certain rights and protection of these rights in all their ...
P B
Dec 1, 2018
Effective October 1, 2018, BCBSRI launched a new product family, Access Blue New England. It will be...
P B F
Dec 1, 2018
Effective January 1, 2019, the Blue Cross and Blue Shield Federal Employee Program® (FEP) is launchi...
P B F
Oct 1, 2018
Effective October 1, 2018, BCBSRI is launching a new product family, Access Blue New England. It wil...
P
Oct 1, 2018
Effective January 1, 2019, the following referral requirements have changed: A referral will no lon...

Claims

P B F
Apr 1, 2024
BCBSRI is not a PPO network sharing plan. We are not allowed to price based on our participating pro...
P B F
Jan 1, 2024
BCBSRI claims department has seen an increase in claims rejecting for no eligibility because claims ...
P B F
Nov 1, 2023
If you are correcting a claim due to an audit finding, you must submit Medical Records with your cor...
P B
Nov 1, 2023
If a group submits a claim with the incorrect rendering provider, and needs to correct it, they will...
P B
Apr 1, 2023
As a reminder, when filling out a CMS-1500 form and submitting it to BCBSRI for claims processing, i...
P B F
Jan 1, 2023
As a reminder when sending medical records to BCBSRI, a valid coversheet should be placed on top of ...
P B F
Mar 16, 2022
**This update will not take place this weekend and it will be rescheduled to a future date. **   B...