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 de mayo de 2022
As you know, May is Mental Health Awareness Month. Factors related to the pandemic over the last two...
P B F
1 abr, 2022
Heart disease is the top cause of death in the U.S. today, and the leading cause of death for people...
P B F
1 mar, 2022
It’s amazing to think that we’re now at the second anniversary of the start of the COVID-19 pandemic...
BCBSRI Update
P F
16 de mayo de 2022
As you may know, BCBSRI uses InterQual® Criteria Guidelines (InterQual) offered through Change Healt...
P B F
1 de mayo de 2022
Your office could see an increase time for claims processing for some Direct Pay member claims. If a...
P B F
1 de mayo de 2022
How to view authorizations BCBSRI providers can view authorizations in the MHK provider portal by e...
Provider Relations
P B F
1 de mayo de 2022
Effective 1 de julio de 2022, BCBSRI will require the National Drug Code (NDC) to be filed on all claims s...
P B
1 de mayo de 2022
The Place of Service (POS) 10 Telemedicine Payment Policy outlines BCBSRI’s implementation of a new ...
P B
1 abr, 2022
The Place of Service (POS) 10 Telemedicine Payment Policy outlines BCBSRI’s implementation of a new ...
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 de mayo de 2022
This month’s Hints for HEDIS is for Osteoporosis Management in Women who Had a Fracture (OMW). Meas...
P
1 abr, 2022
TRC (Transitions of Care: Medication Reconciliation) This month’s Hints for HEDIS will cover bes...
P
1 mar, 2022
This month’s Hints for HEDIS includes an informative refresher on the Colorectal Cancer Screening (C...
Salud conductual
B
1 de mayo de 2022
Mental Health Month was started in 1949 by the national organization Mental Health America to raise ...
B
1 abr, 2022
Founded and sponsored by the National Council on Alcohol and Drug Dependence (NCADD), Alcohol Awaren...
B
1 mar, 2022
The Substance Use and Mental Health Leadership Council of RI (SUMHLC) is offering an opportunity to ...
Farmacia
P F
1 abr, 2022
As part of our ongoing efforts to make high-quality and affordable healthcare available to our membe...
P
1 mar, 2022
The first interchangeable biosimilar insulin product has been approved by the FDA. Viatris has relea...
P F
4 feb, 2022
As part of our ongoing efforts to make high-quality and affordable healthcare available to our membe...
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
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 ene, 2022
BCBSRI will be implementing changes to bluegateway.bcbsri.com and the system was supposed to be unav...
P B F
1 dic, 2021
BCBSRI will be implementing changes to bluegateway.bcbsri.com and the system will be unavailable fro...
Policies
P F
1 de mayo de 2022
We have completed our review of the 20 de abril22 CPT code changes, including any category II performan...
P F
1 de mayo de 2022
This policy was updated on 20 de abril de 2022 to include new HCPCS codes effective 1 de abril de 2022. Effe...
P F
1 de mayo de 2022
Effective 1 de julio de 2022, diagnosis coding in the Fecal Calprotectin Testing policy will be edited to ...
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