BCBSRI will conduct administrative terminations of provider agreements for providers who have not submitted a claim for a period of one year. In addition, BCBSRI will deactivate any tax identification number that has not had any claims submitted under it within that same timeframe.

Administrative terminations take place twice a year, on 1 de agosto and 1 de febrero, and look back at the previous year.

Prior to termination, BCBSRI will provide a 90-day written notice to impacted providers. Providers who are terminated 90 days after being notified of termination due to inactivity, but who then want to participate, must reapply to become a participating provider through BCBSRI’s standard credentialing processes. BCBSRI will also review provider agreements with multiple affiliations and terminate any individual affiliation where a claim has not been submitted for a period of one year.

A new audit began on 1 de agosto de 2021, with letters being delivered to offices that week. Please contact inactiveproviders@bcbsri.org if you receive a termination notice for inactivity but wish to remain a BCBSRI participating provider. Please refer to the Inactive Provider Termination policy for additional information.