- P = Professional
- B = Behavioral health
- F = Facilities
BCBSRI Update
P F
1 Jan, 2024
Effective 1 de março, 2024 updates will be made to MHK for the following InterQual subsets:Eyelid Lesio...
P F
11 Dez, 2023
A formulary change for BCBSRI Commercial plans is being made in response to the current growth hormo...
P F
7 Dez, 2023
Kidney-only transplants to require prior authorization through the Human Organ Transplants Program F...
P
1 Dez, 2023
Any admin user in Health Trio (person who originally set up the HT account) has the ability to creat...
P B
1 Dez, 2023
BCBSRI is actively pursuing National Committee for Quality Assurance (NCQA) Health Equity Accreditat...
P F
1 Dez, 2023
Currently, BCBSRI utilizes eviCore for High-End Radiology and Cardiology prior authorizations and Sp...
P B F
1 Dez, 2023
Primary care providers (PCPs) accept responsibility for arranging and coordinating members’ overall ...
P B F
1 Dez, 2023
If you are correcting a claim due to an audit finding, you must submit medical records with your cor...
P B F
1 Dez, 2023
Mental health counselors and marriage and family therapists will be allowed to render services to Me...
P F
1 Dez, 2023
Effective 1 de janeiro, 2024, notification and prior authorization will no longer be required for home ...
P F
1 Dez, 2023
Effective 1 de janeiro, 2024, the following updates will be made in MHK for the following InterQual sub...
P B F
1 Dez, 2023
Effective 1 de janeiro, 2024, FEP will follow CMS guidelines regarding eligibility for the FEP Medicare...
P
1 Dez, 2023
For providers who require assistance with the Health Trio application, you may contact our Provider ...
P B
1 Dez, 2023
When submitting retroactive/post-service authorizations through the BCBSRI MHK Provider Portal, the ...
P F
1 Nov, 2023
Effective 1 de janeiro, 2024, Mental Health Counselors and Marriage and Family Therapist will be allowe...
P F
1 Nov, 2023
Effective 1 de janeiro, 2024, notification and prior authorization will no longer be required for home ...
P F
1 Nov, 2023
In light of the recent Food and Drug Administration (FDA) approval and Centers for Disease Control a...
P F
1 Nov, 2023
Effective 1 de janeiro, 2024 the following updates will be made in MHK for the following InterQual subs...
P B F
1 Nov, 2023
Effective 1 de janeiro, 2024, FEP will follow CMS guidelines regarding eligibility for the FEP Medicare...
P B F
1 Nov, 2023
At BCBSRI, we believe that high-quality care is equitable care, and we are committed to providing th...
P B F
1 Nov, 2023
Rhode Island Energy's member ID cards have been updated with Anthem Blue Cross. If a member is prese...
P F
1 Out, 2023
In light of the recent Food and Drug Administration approval and Centers for Disease Control and Pre...
P F
1 Out, 2023
Effective 1 de janeiro, 2024, Notification and Prior Authorization will no longer be required for Home ...
P B F
1 Out, 2023
Effective 1 de janeiro, 2024, Mental Health Counselors and Marriage and Family Therapist will be allowe...