Referrals for the BlueCHiP Direct Advance plan
As a reminder, our BlueCHiP Direct Advance plan is available to the individual commercial market through HealthSource RI. This plan is available to members as a limited network, referral-based product that supports our commitment to making healthcare simpler and more affordable.
The BlueCHiP Direct Advance provider network is designed around the Lifespan health system. This network includes select primary care providers (PCPs), specialists, and ancillary providers, as well as all Lifespan hospitals and select freestanding facilities.
With this plan, PCPs are responsible for generating referrals to specialists. While specialists can verify the status of a referral through our web-based referral tool, they are not able to generate or enter referrals. If specialist services are rendered without a referral, the claim will be denied.
As always, we ask that you verify BCBSRI member benefits and eligibility by logging on to the secure provider portal of bcbsri.com to confirm member coverage prior to rendering services. You can verify BlueCHiP Direct Advance members by validating the prefix code ZBE on the member identification card.
If you have any questions regarding BlueCHiP Direct Advance or your participation status, please contact our Physician and Provider Call Center at (401) 274-4848 or 1-800-230-9050.