At BCBSRI, we continue to improve our members’ health and peace of mind by facilitating their access to affordable and high-quality healthcare.

We are pleased to announce the expansion of the primary care physician (PCP) burden reduction initiative that we introduced on May 15, 2025. Effective October 1, 2025, providers who are credentialed as an eligible PCP will no longer need to submit prior authorization requests for any admission, item, service, treatment, or procedure, except medications, for fully insured members only. This change is expected to simplify workflows, reduce delays in patient care, and improve overall provider satisfaction.

Utilizing the eligibility portion of the web your office uses today, you will continue to check the member’s BCBSRI ID. By entering the member’s BCBSRI ID, you will know if the member is fully insured commercial member. 

If you need a personalized training on the new process, or a copy of the training please contact ProviderRelations@bcbsri.org.