Jun 1, 2024

Reimbursing members

As a reminder, as a participating provider/group, your contract with BCBSRI prohibits charging members beyond your contracted allowance. As outlined in your contract, any refunds to members must be issued within 45 days of receiving the contractual allowance payment. If the member is not refunded within the 45 days, BCBSRI has the right to reimburse the member for the amount they paid to the provider above the contractually obligated amount and offset such payment from the provider’s future settlement(s).