Bcbsri provider phone number. To obtain access to bcbsri.


Bcbsri provider phone number Dec 1, 2024 · Effective January 1, 2025, BCBSRI will move from facility contracting and billing and will start credentialing licensed chemical dependency professionals (LCDPs) individually. Click on Case Management . Please utilize the following form for the following requests. com. If you have any questions regarding this change, please contact ProviderRelations@bcbsri. org prior to the meeting. Please note this information would not be shared outside of BCBSRI. As a BCBSRI-contracted provider, it is your obligation to coordinate member care with contracted, in-network providers, for all BCBSRI plans and products. New Sales (401) 734-2409. Please send all correspondence to: Blue Cross & Blue Shield of Health care providers, find a Blue Cross NC phone number for info on eligibility, benefits and claims status, plus medical policies, contract updates and more. Oct 22, 2024 · Medicare Advantage See all your options, compare plans, and enroll. Other forms you might need. Claims may be filed either electronically or on paper for Blue Cross & Blue Shield of Rhode Island (BCBSRI) plan members and out-of-state Blue Cross & Blue Shield plan members. Important tips and guidelines about the program in the 2016 PCP Quality Incentive Program booklet. All Practitioner Change Forms can be faxed to Nov 1, 2024 · BCBSRI invites our participating providers to join us on Tuesday, November 12 from 10-11 am. Call 1-866-304-2138 to order products over the phone. Dec 1, 2024 · For additional information or to find a Headway provider, please visit: Headway | Find Therapists Covered by Your Insurance or contact BCBSRI Behavioral Health Care Management by phone at 1-800-274-2958 or triage_group@bcbsri. Carelon Contact Center – 866-455-8415 (Monday through Friday, 6 a. A PCP is a physician (MD or DO) who is board-certified or trained in internal medicine, pediatrics, or family medicine. Items will be shipped to you at no cost. Português. If you are not sure who your Provider Relations representative is you can reach out to Provider. For additional information on HIPAA Partner Testing contact the BCBSRI Service Desk at 1-855-721-4211 or hipaa. 5 days ago · 1 The out-of-pocket maximum includes only Medicare-covered services. 3. Our website uses cookies to enhance functionality and improve your browsing experience. Jun 11, 2024 · for provider offices to contact BCBSRI when a provider is leaving your practice. Out-of-State Plans. Find an eye doctor. Blue CHiP Direct Advance plan reminder • As a reminder, January 1, 2018, BCBSRI offered a new product on the individual Commercial market, Oct 1, 2024 · BCBSRI is committed to continuously improving payment integrity to prevent overpayments due to waste or abuse. for a conference call with the Provider Relations team, who will provide updates and reminders on important topics and changes for 2025. com or by calling the Provider Service Center at 401-274-4848 or 1-800-230-9050. com and submit a request to participate ** Section 3A – Change in Practice Information IMPORTANT: Please attach W-9 form Dec 1, 2024 · Effective January 1, 2025, BCBSRI will move from facility contracting and billing and will start credentialing licensed chemical dependency professionals (LCDPs) individually. Don’t see your provider on the BCBSRI portal? Please note that only your office administrator can add providers to your BCBSRI. 500 Exchange Street. Oct 1, 2024 · • Providers who did not attest to their information last quarter, have been excluded from the BCBSRI provider directory- Find a Doctor Tool. Check patient eligibility to verify effective dates of coverage, copays, deductibles, and other information. Let's talk Phone number: * How can we help you? We contact provider offices directly, via fax, to ensure this information is accurate and up-to-date. Oct 1, 2020 · We have updated the credentialing form for new providers looking to become participating BCBSRI providers. Feb 1, 2024 · BCBSRI uses eviCore for high-end radiology and cardiology prior authorizations and spine surgery for Medicare Advantage members. Services requiring claims submission A claim must be submitted for all services not included in a capitation compensation arrangement. BCBSRI makes every effort to streamline your authorization process and auto-approve as many authorizations as we can. b. ; Extra Help Plans Medicare + Medicaid and the new Access plans. Contact Find a Doctor Connect with member customer service or find the right support resources, including your local Blue Cross and Blue Shield (BCBS) company, general FAQs and media relations contacts. org prior to the meeting Phone. Use My Health Toolkit ®. 137 drugs moving from Preferred Generic to Generic Oct 10, 2023 · for provider offices to contact BCBSRI when a provider is leaving your practice. Effective July 2024, BCBSRI began performing additional prepayment claim reviews using Optum’s Comprehensive Payment Integrity (CPI) tool, which ensures that claims are processed and paid accurately. Any provider removed from the Provider Directory for failure to attest in Q3 of 2024 will receive a notification from BCBSRI. • Providers must attest by December 31st (end of Q4) to ensure they Jan 9, 2024 · for provider offices to contact BCBSRI when a provider is leaving your practice. Feb 1, 2024 · BCBSRI invites providers to join us on Tuesday, February 13, 2024 from 10-11 a. To obtain access to bcbsri. Enrollment in Blue Cross & Blue Shield of Rhode Island depends on contract renewal. When you visit a doctor, lab, or hospital and you have to pay part of the cost, we will send you a Healthcare Services Summary (HSS) in the mail. Select how many miles away the provider may be from the above zip code: Within zip code 5 10 15 25 30 Languages Providers. CMS also requires providers to note whether they are accepting new Providers. Nov 1, 2024 · Primary care providers (PCPs) accept responsibility for arranging and coordinating the overall healthcare of BCBSRI members. Click on Tools and Resources. Jul 1, 2023 · As a reminder, there is a functionality on the BCBSRI Provider Portal that allows providers to send inquiries via secure messaging. 1-800-676-2583 24/7. May 14, 2024 · for provider offices to contact BCBSRI when a provider is leaving your practice. Contact us for help. Before you visit a doctor on this list, please contact the office to make sure network membership is unchanged. org if they receive a termination notice for inactivity but wish to remain a BCBSRI participating provider. Providers. Jan 1, 2023 · If you are not an approved Medicaid provider and are unable to submit your claim from BCBSRI to Medicaid, you will not be allowed to bill the member for the copay/coinsurance. To obtain a Prior Authorization after-hours, providers may contact OptumRx at the following numbers: Medicare: 866-235-1793, ext. Practitioner Change Forms are located on bcbsri. Para falar com um intérprete, ligue para 1-800-267-0439. BCBSRI will require that all LCDPs are individually credentialing by February 1, 2025. Oct 1, 2024 · Medicare Advantage See all your options, compare plans, and enroll. All trademarks unless otherwise noted are the property of Blue Cross & Blue Shield of Rhode Island or the Blue Cross and Blue Shield Association. The maximum amount you would pay out-of-pocket for covered healthcare services each year, including deductible, copays, and coinsurance. English and review the Provider Administrative Manual. X. Sales support. Small Group contacts Existing Sales. Referral An order from your primary care provider (PCP) for you to receive care from another doctor, specialist, or medical facility. Dedicated contact for billing inquiries; 1-800-637-3718 ext. Policy@bcbsri. Medicaid Network Management Email to submit provider inquiries and questions. for a conference call with the Provider Relations team, who will provide updates and reminders on the following topics: Telemedicine ; 2024 updates; Upcoming live D-SNP training dates; Provider data reminders/attestation reminders Some BCBSRI plans, such as our BlueCHiP plans, require you to have a PCP. 2. We do this to ensure personalized service for every member. Use the Find a Doctor tool if your vision exam is covered under your medical plan. Previously limited to four digits, this extension option allows for more accurate contact information, making communication with our UM team easier for those who have extensions more than four digits long. Apr 23, 2020 · Premera Blue Card Provider Phone Number: 888-261-9562 (Claims) 800-676-2583 (Benefits/Eligibility) Arizona: Phoenix: 602-864-4400 800-232-2345 Tucson: 520-745-1883 Blue Cross & Blue Shield of Rhode Island is an HMO plan with a Medicare contract. Blue Cross & Blue Shield of Rhode Island is an independent licensee of Providers: Claims Filing Information for In-Network & Out-of-Network Providers. Overview; Blue Cross & Blue Shield of Rhode Island 500 Exchange Street Providence, RI 02903-2699. Already a BCBSRI Medicare Advantage member? Dental provider portal Visit your nearest retail location or contact us Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross You can also find our telephone numbers and hours of operation on the Contact Us page. A specific customer service center supports each member. Claim adjustments call 800-451-0287* Blue Cross and Blue Shield of Texas Medicaid. Refer to the phone number on the back of your card. We’re asking offices to update the link(s) if they are saved in their favorites, as the old link will no longer work. ; Medicare Supplement Help cover costs with a Plan 65 option. Inquiry@bcbsri. Credit and collections (401) 459-5821 Credit&Collection@bcbsri. PROVIDER ADMINISTRATIVE MANUAL CHAPTER 2– Key Contact List for Physicians/Providers BlueLine (401) 272-1590 or 1-800-327-6712 . All Practitioner Change Forms can be faxed to Dec 1, 2024 · Email: Medical. Brown University Health does have additional providers that are considered Tier 1 that may not be on this list. Relations@bcbsri. CMS also requires providers to note whether they are accepting new Dec 1, 2024 · Medicare Advantage See all your options, compare plans, and enroll. Sep 1, 2022 · Why do I need to choose a “Par” provider status? As many provider offices now know, when searching for a requesting/servicing/facility provider, you should always select the “Par” provider status when available. New language resource available to you on the BCBSRI provider Nov 1, 2024 · Medicare Advantage See all your options, compare plans, and enroll. Out-of-state: 1-800-676-2583. Tiering of ASC/OP hospital cost sharing BCBSRI invites our participating providers to join us on Tuesday, October 1 from 10-11 a. 4. edi. All Practitioner Change Forms can be faxed to Oct 7, 2024 · As a reminder, you are required as a participating provider in the D-SNP network to complete the annual D-SNP training by March 31, 2025. Out-of-State Plans 1-800-676-BLUE (2583) Physician and Provider Service Center Please contact your account executive or call our main number at (401) 459-1000 or 1-800-637-3718 outside Rhode Island Blue Cross & Blue Shield of Rhode Island 500 Exchange Street Providence, RI 02903-2699 A specific customer service center supports each member. Attention: Medical Policy, CPT Review. This policy is applicable to facilities reimbursed based on a contracted diagnosis-related group (DRG) or case rate methodology. org contact Provider Relations at ProviderRelations@bcbsri. d. Overview; Phone number: * Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association. We encourage you to submit any questions you would like addressed during the call to ProviderRelationsSeminars@bcbsri. com by following these easy steps: 1. where a patient is able to make an appointment. Providers who are terminated 90 days after being notified of termination due to inactivity, but Self-guided Study: Complete the 2025 Provider Attestation form CMS Annual Requirement for ALL providers, cannot be delegated. May 1, 2024 · Medicare Advantage See all your options, compare plans, and enroll. If you have any questions about this change, please contact ProviderRelations Nov 1, 2023 · BCBSRI’s PQIP booklet contains acceptable codes for each of the PQIP measures. for a conference call with the Provider Relations team, who will provide updates and reminders on the following topics: Telemedicine ; 2024 updates; Upcoming live D-SNP training dates; Provider data reminders/attestation reminders Jun 1, 2024 · BCBSRI invites providers to join us on Tuesday, June 11 from 10-11 a. org Personalized Trainings: ProviderRelations@bcbsri. 5 days ago · Medicare Advantage See all your options, compare plans, and enroll. com > Providers > Forms. 0 Oct 1, 2021 · All trademarks unless otherwise noted are the property of Blue Cross & Blue Shield of Rhode Island or the Blue Cross and Blue Shield Association. ) It shows how much your provider will charge you when they send you an actual bill—and how much you saved by using the BCBSRI network. support@bcbsri. Habla usted español? Online. Providence, Rhode Island 02903. Please Contact Physician and Provider Service Center: (401) 274-4848 Blue Cross & Blue Shield of Rhode Island 500 Exchange Street Providence, RI 02903; Dec 10, 2024 · for provider offices to contact BCBSRI when a provider is leaving your practice. Tiering of ASC/OP hospital cost sharing Blue Cross & Blue Shield of Rhode Island 2023 Updates February 14, 2023 have been excluded from the BCBSRI provider phone number and accepting new patients Apr 23, 2024 · We ask that you include the following information in your appeal request to ensure BCBSRI will be able to schedule the peer-to-peer with the Medical Director at BCBSRI. Log on to the provider portal of BCBSRI. General Statement: Providers should verify if the code requested requires prior authorization via BCBSRI. Using secure messaging, you can ask questions about: Eligibility/prior authorization/benefits – For Rhode Island members only • If the Provider is unable to submit through the Provider Portal, or the Portal is down, they can submit via Phone at 1-800-274-2958 REQUIRED INFORMATION FOR AUTHORIZATIONS SUBMITTED THROUGH BCBSRI PROVIDER PORTAL The following fields are required: Phone Number Requesting Provider’s Phone number Oct 1, 2021 · All trademarks unless otherwise noted are the property of Blue Cross & Blue Shield of Rhode Island or the Blue Cross and Blue Shield Association. Chinese: Blue Cross & Blue Shield of Rhode Island . For paper claims submissions, use the CMS-1500 form. If you have Blue Cross Vision, use this option for routine eye exams, glasses, and contacts. Oct 1, 2021 · Looking for a Medicare Advantage plan? Talk to our Medicare Sales team 1-800-505-BLUE (2583) (TTY: 711) Or request a sales call. Following the call, we Please note from time to time it may be necessary for our Medical Director or their designee to speak to the provider directly. Oct 1, 2024 · BCBSRI is committed to continuously improving payment integrity to prevent overpayments due to waste or abuse. If your doctor is not yet in the BCBSRI network, they can use this form to request participation: Become a participating provider Nov 1, 2024 · Beginning January 1, 2025, BCBSRI requires that participating providers, who treat or diagnose patients for substance use disorders or refer patients for treatment of substance use disorders and are subject to the Confidentiality of Substance Use Disorder Patient Records Rule (42 CFR. org Personalized Trainings: Kathleen. Dec 1, 2023 · BCBSRI invites providers to join us on Tuesday, December 12, 2023 from 11-12 p. Click on Case Management Carelon Provider Portal. Claim status inquiries contact Availity or other electronic connectivity. You can contact us online anytime day or night with Secure Messaging. Please contact your dedicated Account Executive. You may also use our automated referral form at BCBSRI. All Practitioner Change Forms can be faxed to Providers. Let's talk Phone number: * How can we help you? All trademarks unless otherwise noted are the property of Blue Cross & Blue Shield of Rhode Island or the Blue Cross and Blue Shield Association. Check status of all claims submitted with your National Provider Identifier (NPI). To help providers with completing the training, we are offering multiple sessions for providers to join a live training and we will attest for the provider. (Some insurance companies call it an Explanation of Benefits. You can contact us in a couple of ways: Check the back of your membership card for your specific customer service phone number . The codes included in this booklet are the most commonly used, but are not exhaustive. for a conference call with the Provider Relations team, who will provide updates and reminders on the following topics: Medicare copay for telemedicine correction reminder ; New vs existing patient audit ; Last live D-SNP training dates; Policy Update – Laparoscopically Dec 1, 2024 · Effective January 1, 2025, Pelago will be available to BCBSRI members nationally. All Practitioner Change Forms can be faxed to Aug 1, 2024 · BCBSRI invites providers to join us on Tuesday, August 13 from 10-11 a. By Mail. All Practitioner Change Forms can be faxed to Contact; Español. All Practitioner Change Forms can be faxed to 5 days ago · All trademarks unless otherwise noted are the property of Blue Cross & Blue Shield of Rhode Island or the Blue Cross and Blue Shield Association. Jun 1, 2024 · BCBSRI invites providers to join us on Tuesday, June 11 from 10-11 a. If you are a Preferred Provider Organization (PPO) member, the doctor will recognize the PPO Suitcase logo, which will ensure you will get the PPO level of benefits. Dec 1, 2024 · The Medicare Prescription Payment Plan is a new payment option in the prescription drug law that works with Medicare Part D beneficiaries’ current drug coverage to help them manage their out-of-pocket Medicare Part D drug costs by spreading them across the calendar year (January-December). In the BCBSRI MHK Provider Portal, providers will now have the ability to add a six-digit extension to their contact phone number. 1-800-267-0439. Blue Cross Medicare Advantage Customer Service 877-774-8592 Please note from time to time it may be necessary for our Medical Director or their designee to speak to the provider directly. Following the call, we Jul 1, 2024 · Medicare Advantage See all your options, compare plans, and enroll. All Practitioner Change Forms can be faxed to Oct 1, 2024 · BCBSRI network participation. org. Full name and valid phone number of the person who will be responsible for scheduling the peer-to-peer discussion. com or if you need assistance with MHK, please contact our Provider Relations team at ProviderRelations@bcbsri. Underwriting. for a conference call with the Provider Relations team, who will provide important updates and reminders. Effective March 1, 2024, eviCore has transitioned their authorization portal to Carecore National. Following the call, we Some BCBSRI plans, such as our BlueCHiP plans, require you to have a PCP. to noon, CT on weekends and holidays) Dec 12, 2023 · for provider offices to contact BCBSRI when a provider is leaving your practice. Mail: Blue Cross & Blue Shield of Rhode Island. Simon@bcbsri. : 16675 BCBSRI network of Oct 1, 2021 · All trademarks unless otherwise noted are the property of Blue Cross & Blue Shield of Rhode Island or the Blue Cross and Blue Shield Association. Providers and doctors call these Blue Cross & Blue Shield Rhode Island phone numbers for eligibility and other questions. The Centers for Medicare & Medicaid Services (CMS) requires providers to note whether the location included is the same as . An EDI analyst will work with you during each phase of partner testing. You must receive all routine care from plan providers unless you select the BlueCHiP for Medicare Value (HMO-POS), BlueCHiP for Medicare Enhanced (HMO-POS), BlueCHiP for Medicare Extra (HMO-POS), BlueCHiP for Medicare Preferred (HMO-POS), or the Sep 12, 2023 · for provider offices to contact BCBSRI when a provider is leaving your practice. Access provider publications including: Participating Provider Administrative Manual; BCBSRI Practice Guidelines; Orientation visits Nov 14, 2023 · for provider offices to contact BCBSRI when a provider is leaving your practice. BlueLine (401) 272-1590 1-800-327-6712 24/7 How to use BlueLine. View the OTC catalog. 6064 EmployerSupport@bcbsri. Printed Materials and Plan Specifics: ProviderRelations@bcbsri. Oct 12, 2021 · Providers are instructed to contact inactiveproviders@bcbsri. Nov 12, 2024 · for provider offices to contact BCBSRI when a provider is leaving your practice. for a conference call with the Provider Relations team, who will provide important updates and reminders Apr 9, 2024 · for provider offices to contact BCBSRI when a provider is leaving your practice. Personalized group training, via Teams or in-person. Portuguese: Se você, ou alguém a quem você está ajudando, tem perguntas sobre o Blue Cross & Blue Shield of Rhode Island, você tem o direito de obter ajuda e informação em seu idioma e sem custos. Contact ProviderRelations@bcbsri. This information is available for free in other languages. Overview; Policies and coverage Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Nov 1, 2024 · Tiering and formulary updates for Medicare members: 470 drugs moving off formulary ; 936 drugs moving to Higher Tiers; Tiering changes. Physician and Provider Call Center Contact Us. for a conference call with the Provider Relations team, who will provide updates and reminders on the following topics: Medicare Telemedicine Reminders; Upcoming live D-SNP training dates; Safe Zone Provider Deadline; Provider data reminders/attestation reminders Dec 1, 2024 · PCP $0 cost sharing. This is the most a member would pay for these services during a calendar year. All Practitioner Change Forms can be faxed to Dec 1, 2024 · Medicare Advantage See all your options, compare plans, and enroll. c. org for scheduling. com Oct 1, 2021 · All trademarks unless otherwise noted are the property of Blue Cross & Blue Shield of Rhode Island or the Blue Cross and Blue Shield Association. If you have chosen one of these plans, you must have a PCP listed with us because they are critical to your care and will provide referrals to specialists, labs, and other providers you might need. Click on Forms. If you have questions, please contact your BCBSRI Provider Relations Representative or send an email to ProviderQuality@bcbsri. BlueLine (401) 272-1590 or 1-800-327-6712 Routine membership, eligibility, benefit information, and claims status for all Blue Cross & Blue Shield of Rhode Island members Hours: 24 hours a day, seven days a week Download instructions on how to use BlueLine. to 6 p. Teams based group instruction beginning in Q4 through Q1 of the active D-SNP year. Hints for HEDIS® (and More) Jun 1, 2022 · If you do not know who your administrator is, contact your Provider Relations representative. org Nov 18, 2024 · Medicare Advantage See all your options, compare plans, and enroll. Practitioner Change Forms are locations at bcbsri. Oct 1, 2021 · All trademarks unless otherwise noted are the property of Blue Cross & Blue Shield of Rhode Island or the Blue Cross and Blue Shield Association. If you do have any questions regarding your physician’s tiering, please reach out to the CARE Team. org prior to the meeting If provider is not currently participating in the BCBSRI network, please visit BCBSRI. Blue Cross & Blue Shield of Rhode Island is an HMO and PPO plan with a Medicare contract. Small-Group Nov 1, 2024 · PCP $0 cost sharing. Let's talk Phone number: * How can we help you? Mar 12, 2024 · for provider offices to contact BCBSRI when a provider is leaving your practice. Please send updated Contact Information for your practice, including email and telephone numbers. Section 6: Contact Information Call our Medicare Concierge team at 1-800 -267 -0439 (TTY -711). To individually credential your LCDPs today, click here. Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association. Secure messaging is located on the left-hand tool bar once you log in to bcbsri. All Practitioner Change Forms can be faxed to Dec 1, 2024 · To refer a patient to the BCBSRI BH Case Management Program, please call 1-800-274-2958 or email traige_group@bcbsri. Nov 1, 2024 · To refer a patient to the BCBSRI BH Case Management program, please call 1-800-274-2958 or email triage_group@bcbsri. Failing to provide direct contact information may delay the provider's enrollment request. Overview; Blue Cross & Blue Shield of Rhode Island PO Box 1057 Providence, RI 02901. You must provide 60 days notice to BCBSRI when a provider is no longer going to be practicing for your group. A customer service representative will respond to your request within one business day. Contact; Español. When you arrive at a participating doctor's office or hospital, simply present your plan ID card. For additional information, please visit: Pelago | Virtual clinic for substance use management (pelagohealth. Refer to BCBSTX Medicaid website and Contact Us. com) or contact BCBSRI Care Management at 1-800-274-2958 or email triage_group@bcbsri. Apr 1, 2024 · BCBSRI invites providers to join us on Tuesday, April 9 from 10-11 a. Medicare Advantage See all your options, compare plans, and enroll. In compliance with Rhode Island law, if you wish to end your participation with BCBSRI as a result of the updated fee schedules, you may notify BCBSRI of your intent to terminate your Participating Physician/Provider Agreement within sixty (60) days of receipt of this notification. , CT; and 9 a. All PCP visits (including sick visits) will now have a $0 copay for dates of services on or after January 1, 2025. After the out-of-pocket is met, in-network covered services are paid at 100% by Blue Cross & Blue Shield of Rhode Island. m. Attestation is required and confirms training is complete: Provider D-SNP Training Attestation | Blue Cross & Blue Shield of Rhode Island (bcbsri Provider Finder Search: Before you begin your search, please note: We update our provider listings frequently, but our networks change constantly. All Practitioner Change Forms can be faxed to Dec 1, 2024 · BCBSRI invites providers to join us on Tuesday, December 10, 2024 from 10-11 a. Jul 25, 2023 · for provider offices to contact BCBSRI when a provider is leaving your practice. Self-guided Study: Complete the 2025 Provider Attestation form CMS Annual Requirement for ALL providers, cannot be delegated. Dec 1, 2024 · Medicare Advantage See all your options, compare plans, and enroll. Please note that as a participating provider, it is your responsibility to notify members about non-covered services prior to rendering them. BCBSRI’s BH staff will be in touch with you within 3 business days to provide your authorization number needed for claims processing. The 2023 PQIP booklet and future updates can be found on the BCBSRI Provider Portal under Quality > PQIP. Mar 1, 2024 · BCBSRI invites providers to join us on Tuesday, March 12 from 10-11 a. Sales. You can file claims electronically or on paper for Blue Cross & Blue Shield of Rhode Island plan members and out-of-state Blue Cross & Blue Shield plan members. Let us know what you think. Find providers numbers for claims, correspondence, managed care and traditional products and more Contact audience Provider Contacts ‌ Physician Services Dec 1, 2023 · BCBSRI invites providers to join us on Tuesday, December 12, 2023 from 11-12 p. Oct 1, 2024 · BCBSRI has seen an increase in claims processed by out-of-network providers or laboratories which were referred by a participating BCBSRI provider. Routine membership, eligibility, benefit information, and claims status for all BCBSRI Oct 1, 2024 · The Centers for Medicare and Medicaid Services (CMS) reminds Medicare Advantage Organizations to continue working with their contracted health care providers to review, update, and certify existing provider information in the National Plan and Provider Enumeration System (NPPES). Oct 1, 2024 · BCBSRI has updated our Hospital Readmission Payment policy for readmissions to an acute general short-term hospital. Phone number: * We contact provider offices directly, via fax, to ensure this information is accurate and up-to-date. The updated form can be found here. All Practitioner Change Forms can be faxed to Contact our Medicare Concierge team or visit one of our five Your Blue Store℠ locations. Please contact our Customer Service number at 1-800-267-0439 (TTY/TDD users should call 711). xgixs uabb acjry ttu njsc vsa plbpd byrbg zdplt sdh