Read Provider Update

This monthly newsletter delivers updates on policies, changes to benefits, and other news you need to know.

  • P = Professional
  • B = Behavioral health
  • F = Facilities

A Word from Dr. Collins

P B F
1 Nov, 2022
  Matthew Collins, M.D., M.B.A. is BCBSRI’s executive vice president and chief medical officer, wit...
P B F
1 Out, 2022
Matthew Collins, M.D., M.B.A. is BCBSRI’s executive vice president and chief medical officer, with c...
P B F
1 Set, 2022
  Matthew Collins, M.D., M.B.A. is BCBSRI’s executive vice president and chief medical officer, w...

BCBSRI Update

P B F
1 Out, 2022
At BCBSRI, we believe that high quality care is equitable care, and we are committed to providing th...
P B F
1 Set, 2022
BCBSRI continually works to streamline the prior authorization process so we can enhance our member ...
P B F
1 Set, 2022
Special Fraud Alert: OIG Alerts Practitioners To Exercise Caution When Entering Into Arrangements Wi...

Provider Relations

P B F
1 Nov, 2022
The Centers for Medicare & Medicaid Services (CMS) reminds Medicare Advantage Organizations to c...
P B F
1 Nov, 2022
BlueCHiP for Medicare Advance  Effective 1 de janeiro, 2023, BlueCHiP for Medicare Advance (Advance) ...
P B F
1 Nov, 2022
We have created more direct channels of patient and practice communication to help you help your pat...

Physician & Provider Call Center

P B F
1 Jun, 2021
  Did you know our secured Physician and Provider Portal offers the following: •Check member benef...

Quality

P
1 Out, 2022
Preventing falls and subsequent hip and vertebral fractures is important for our senior population. ...
P
1 Set, 2022
Interested in optimizing your quality and incentive program performance? BCBSRI has a dedicated tea...
P
1 Ago, 2022
August is National Immunization Awareness Month (NIAM). This awareness event is recognized annually ...

Behavioral Health

B
1 Nov, 2022
This month’s Hints for HEDIS is Osteoporosis Management in Women who Had a Fracture (OMW). Measure ...
B
1 Nov, 2022
Alzheimer’s Awareness Month is a time to spread awareness about Alzheimer’s disease and show support...
B
1 Nov, 2022
The BCBSRI behavioral health case management program is staffed by experienced mental health and sub...

Farmácia

P
1 Nov, 2022
Effective 1 de janeiro, 2023, BCBSRI will cover the infliximab biosimilar products, Avsola and Inflectr...
P B F
1 Out, 2022
Large Group and Small Group Markets Formulary The information on the above linked page is effective...
P
1 Ago, 2022
As part of our ongoing efforts to make high-quality and affordable healthcare available to our membe...

Products & Benefits

P B F
1 Dez, 2019
In the large group portfolio, we will also be adding eight Network Blue New England Options plans, a...
P B F
1 Dez, 2019
Our regional BlueCHiP family is expanding in the small group market with Effective 1 de janeiro, 2020, ...
P B F
1 Dez, 2019
Effective 1 de janeiro, 2020, BCBSRI will become the insurer for all Lifespan employees. Below is a qui...

Reivindicações

P B F
16 Mar, 2022
**This update will not take place this weekend and it will be rescheduled to a future date. **   B...
P B F
7 Jan, 2022
BCBSRI will be implementing changes to bluegateway.bcbsri.com and the system was supposed to be unav...
P B F
1 Dez, 2021
BCBSRI will be implementing changes to bluegateway.bcbsri.com and the system will be unavailable fro...

Policies

P F
1 Nov, 2022
Minimally Invasive Procedures for Back Pain Related to Disc Disease Effective 1 de janeiro, 2023, an a...
P F
1 Nov, 2022
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P F
1 Nov, 2022
The following policy was recently archived: Digital Breast Tomosynthesis...
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