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 ene, 2021
Even in “normal" times, before the pandemic, healthcare professionals and caregivers dealt with trem...
P B F
1 dic, 2020
As you know, BCBSRI’s temporary payment policy for telemedicine/telephone services is in effect unti...
P B F
1 nov, 2020
In its recently released Health of America Report® – “Millennial Health: Trends in Behavioral Health...

BCBSRI Update

P F
1 ene, 2021
BCBSRI has updated its Payment Policies for Telemedicine/Telephone Services for Commercial and Medic...
P F
1 ene, 2021
Launching in 20 de enero21, SmartShopper encourages members to select high-quality, cost-effective op...
P F
1 ene, 2021
BCBSRI is taking an additional step to support its members during the COVID-19 crisis. Effective un...

Provider Relations

P B F
1 oct, 2020
We have updated the credentialing form for new providers looking to become participating BCBSRI prov...
P B F
1 sep, 2020
During the COVID-19 pandemic, we’ve had to rethink our in-person fall seminars and have opted to con...
P B F
1 ago, 2020
Electronic attestations are now live on our secure provider portal and have replaced fax attestation...

Quality

P
1 nov, 2020
BCBSRI is committed to making it easier for your practice to be successful in all areas of quality i...
P
1 oct, 2020
BCBSRI is committed to making it easier for your practice to be successful in all areas of quality i...
P
1 sep, 2020
BCBSRI is committed to making it easier for your practice to be successful in all areas of quality i...

Salud conductual

P B
12 nov, 2020
Program overview: The Dementia Care Coordination Program is an evidence-informed intervention based ...
B
1 sep, 2020
Every September, the Substance Abuse and Mental Health Services Administration (SAMHSA) sponsors Nat...
B
1 sep, 2020
If a provider renders methadone maintenance services to a BCBSRI commercial member who has federal M...

Farmacia

P B F
1 ago, 2020
BCBSRI offers home delivery option or an extended supply network pharmacy for new prescriptions or r...
P F
1 ago, 2020
The following codes are being added to Medicare MDR with a 10/1/20 effective date (effective 10/1/20...
P F
1 jun, 2020
Due to the COVID-19 pandemic, BCBSRI has extended all clinical authorization approvals by Prime Ther...

Products & Benefits

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

Reclamos

P B F
1 ene, 2021
These enhancements include auto-approvals as well as a single location to submit both acute inpatien...
P B F
1 ene, 2021
The following announcement is for all providers servicing members with the following Blue Cross Blue...
P F
1 nov, 2020
BCBSRI has updated our system to reflect the new CMS Hospital Bill Type/Class (087) that becomes eff...

Policies

P B F
1 ene, 2021
We have completed our review of the 20 de enero21 CPT code changes including any category II performa...
P F
1 ene, 2021
Effective 1 de marzo de 2021, balloon dilation of the eustachian tube will be considered medically necess...
P F
1 ene, 2021
The following policies were recently reviewed for annual update. The full texts of these policies ar...
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