- P = Professional
- B = Behavioral health
- F = Facilities
BCBSRI Update
P
Sep 1, 2019
Beginning November 1, 2019, Health Trio will be updated to no longer default referrals to one year. ...
P F
Sep 1, 2019
MHK (formerly MedHOK) will soon serve as our new mechanism for entering prior authorization requests...
P F
Aug 1, 2019
MHK will serve as the new mechanism for entering prior authorization requests for both outpatient se...
P
Aug 1, 2019
Currently, Blue Cross & Blue Shield of Rhode Island (BCBSRI) utilizes eviCore for high-end radio...
P B F
Aug 1, 2019
On October 1, 2019, Blue Cross & Blue Shield of Rhode Island (BCBSRI) will launch a new version ...
P
Aug 1, 2019
In early June, BCBSRI held two webinars to discuss cardiology and orthopedic specialist performance ...
P
Jul 1, 2019
Effective March 26, 2019, BCBSRI implemented new credentialing requirements for nurse practitioners ...
P F
Jul 1, 2019
We’re excited to announce the implementation of MHK (formerly known as MedHOK) in September 2019. MH...
P B F
Jun 1, 2019
Following the first annual LGBTQ Cultural Competency Summit, which took place last October in Washin...
P F
Jun 1, 2019
We’re excited to announce the implementation of MHK (formerly known as MedHOK) in September 2019. MH...
P
May 1, 2019
Our Utilization Management (UM) department has streamlined the PCP admission request process for ski...
P
May 1, 2019
This year, BCBSRI will roll out a specialist-focused performance rating program to provide and share...
P
May 1, 2019
In the January Provider Update, Gus Manocchia, M.D., BCBSRI’s executive vice president and chief med...
P F
May 1, 2019
eviCore healthcare (eviCore; our prior authorization partner – formerly MedSolutions) has representa...
P B F
May 1, 2019
We are preparing to move from fax attestations to electronic attestations in June. You will receive ...
P B F
Apr 1, 2019
Please remember that the Grievance & Appeals Unit (GAU) only reviews appeals and does not proces...
P
Apr 1, 2019
Our Utilization Management (UM) department has streamlined the PCP admission request process for ski...
P B F
Mar 1, 2019
Please remember that the Grievance & Appeals Unit (GAU) only reviews appeals and does not proces...
P B F
Mar 1, 2019
BCBSRI’s Provider Relations team will soon load more webinars for viewing. The Fall 2018 seminar is ...
P F
Mar 1, 2019
In December 2018, an email alert was sent to providers about a new process for providers who are aff...
P
Mar 1, 2019
BCBSRI has updated its payment policy for Ophthalmology Examinations and Routine Eye Exams for BlueC...
P B
Feb 1, 2019
BCBSRI has collaborated with James Andriotis, M.D., of Child and Family Psychiatry, to provide incre...
P B F
Feb 1, 2019
We are preparing to move from fax attestations to electronic attestations in 2019. You may still rec...
P B F
Feb 1, 2019
As a reminder, BCBSRI will implement the final of its three pricing adjustments to its professional ...