Bcbsri login provider phone number Enter in Contact Name, and Phone Number of the person submitting the 500 EXCHANGE STREET, PROVIDENCE, RI 02903-2699 MEDICAL COVERAGE POLICY | 2 (401) 274-4848 WWW. With a single log-in or phone call, you can access health and wellness apps, plan information, care management, and customer service—and get personalized health support from Care Guides, nurses, and coaches. Semi-Annually. Con BlueRI for Duals (HMO D-SNP), no solo obtendrá todos los beneficios de la Parte A y la Parte B por $0, sino que obtendrá más extras. On January 1, BlueCare Connect will replace myBCBSRI. London Health works collaboratively with BCBSRI to combine the benefits of CDHPs with wellness to lower costs and increase employee engagement. COM 2024 Prior Authorization of Procedures With your member ID card, you have access to thousands of providers across the country. Back to Provider Update. Interqual Click here for a Provider Identification Number (PIN). Coming soon BCBSRI will be introducing online web claim submission through bcbsri. (Or call BCBSRI. Phone number: * ZIP code: * Date of birth: * If you need assistance adding your provider to your BCBSRI. ICP Update. ; Extra Help Plans Medicare + Medicaid and the new Access plans. to 8:00 p. Forgot Password Please enter your Provider Code and Username below: Provider Code* The Sound Choice for Providers Nutrition plays a critical role in maintaining optimal health—and we want to help! BCBSRI offers our Medicare Advantage members a meal delivery program through ILS Meals by Independent Living Systems. On this page, you will find our most commonly used forms, access to provider publications, educational materials, and tools to make it even easier to do business with us. contracted by Blue Cross & Blue Shield of Rhode Island (BCBSRI) to provide pharmacy benefit management services. As a reminder, BCBSRI does not credential groups (outside of ancillary services). PARTICIPATING DENTIST ADMINISTRATIVE MANUAL 9 . ) If you have questions about whether or not your claims meet all conditions of a clean claim, contact: Physician and Provider Service (401) 274-4848 1-800-230-9050 Monday – Friday, 8:00 a. N/A. If you already have dental coverage with BCBSRI, you can find everything you need to know about your plan, including covered services and claims, through the Dental Benefits section of your online account. Don’t see your provider on the BCBSRI portal? Please note that only your office administrator can add providers to your BCBSRI. 4. We encourage you to submit any questions you would like addressed during the call related to the topics above, or to other topics, to $0 meal delivery after an inpatient hospital stay. Please note this information would not be shared outside of BCBSRI. Dental Direct Basic; Dental Direct Standard; Dental Direct Plus; Dental Direct Elite 2 High-Value Provider network consists of Care New England, Oak Street Health, and Prospect CharterCARE primary care provider (PCP) groups. We are currently beginning the pilot stage of our testing and are hoping to go live for all providers in January of 2024. Please contact your dedicated Account Executive. Become a participating provider Use this form to add a new practice or a new provider within a practice. send us your contact info and we’ll be in touch soon. Blue Cross & Blue If you have questions, please contact our Physician and Provider Service Center: (401) 274-4848 or 1-800-230-9050 Monday through Friday 8:00 a. 11, 2024) – The RI Life Index, an annual statewide survey created by Blue Cross & Blue Shield of Rhode Island (BCBSRI) and the Brown University School of Public Health, finds that a broad range of Rhode Islanders continue to be highly challenged by affordable housing, food security and cost-of-living. Forgot Password? Contact NH support number 1-800-928-1558>, if immediate assistance is required. Customer service. If you have questions about the 2020 PCP Quality Incentive Program, please contact your quality concierge team representative, or send an email to QualityHEDIS@bcbsri. Registered successfully. The codes included in this booklet are the most commonly used, but are not exhaustive. com or call our Customer Service Department at 1-800-267-0439, October 1 - February 14, seven days a week, 8:00 a. Medicare Advantage See all your options, compare plans, and enroll. As long as you have access to the bcbsri. PROVIDENCE, RI (Dec. ” Upon completion of the form, your PIN will be emailed to you. You must provide 60 days notice to Medicare Advantage See all your options, compare plans, and enroll. Before submitting any requests through the provider portal for authorizations, please validate the member’s demographics, such as spelling of first and last name, date of birth, and member ID. I would like to speak with: * Sales. Small-Group Login. Expanded coverage. A few highlights of your plan: $0 for many preventive services, such as your annual physical, when you see a network provider; Predictable copays for many services; Lower costs for seeing in-network providers; Access to an extensive national network; View The Centers for Medicare and Medicaid Services (CMS) reminds Medicare Advantage Organizations to continue working with their contracted health care providers to review, update, and certify existing provider information in the National Plan and Provider Enumeration System (NPPES). If your agency has any authorization inquiries, please contact BCBSRI’s Utilization Management team at 401-272-5670, option 4 or Prospect Utilization Management at 1-844-762-9231. Low + Opt Outs <10. It only takes a couple of minutes and will help us improve our service. Date of birth (YYYY-MM-DD) Title We comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, or sex. org Provider education, responsibilities, policies and procedures Hours: Monday - Friday, 8:00 a. , which are independent licensees of the Blue Cross and Blue Shield Association. May 16, 2024. Quarterly. Any provider removed from the Provider Directory for failure to attest in Q3 of 2024 will receive a notification from BCBSRI. You also can view a quick summary of benefits below: 2025. Failing to provide direct contact information may delay the provider's enrollment request. For additional information or to find a Headway provider, please visit: Headway | Find Therapists Covered by Your Insurance or contact BCBSRI Behavioral Health Care Management by phone at 1-800-274-2958 or triage_group@bcbsri. As in past years, BCBSRI is updating its allowable amounts/rates for common evaluation and management (E&M) services for primary care providers please contact provider relations at 1-844-707-5627 or email ProviderRelations@bcbsri. English. If you are having trouble receiving your PIN, please contact Provider Relations at ProviderRelations@bcbsri. All rights reserved. Inquiry@bcbsri. Please note from time to time it may be necessary for our Medical Director or their designee to speak to the provider directly. The program runs through your online member account and is also available on your phone—at no additional cost to you. If you have any questions on how to identify a member with an HRA plan or questions on our policy for members with an Self-guided Study: Complete the 2025 Provider Attestation form Point of Contact. Refer to your Subscriber Agreement or myBCBSRI account to see if it is part of your plan. 6 11. • Providers must attest by December 31st (end of Q4) to ensure they 1 Teladoc Health is an independent company that has contracted directly with Blue Cross & Blue Shield of Rhode Island (BCBSRI) to provide diabetes management, weight management and other health benefit programs for eligible BCBSRI members. Services must be incurred during a time when the premium is not delinquent. ; Medicare Supplement Help cover costs with a Plan 65 option. $0 meal delivery after an inpatient hospital stay. Check claims status and patient eligibility, view remittances, and review the Provider Administrative Manual. You must provide 60 days notice to Check your plan wherever you are. Use My Health Toolkit®. Pursuant to state law, some PCPs are duly licensed and appropriately certified nurse practitioners, physician assistants, as well as some Ob/Gyns who provide primary care services. You may also use our automated referral form at BCBSRI. org; Report it online and enter access ID "BCRI" Your member ID card and fraud: How to protect your medical information Medicare Advantage See all your options, compare plans, and enroll. London Health is an innovative third-party administrator with expertise in administering consumer-directed health plans for employers while helping them lower employee benefit and human resources expenses. Contact; Español. Small offices will be able to submit claims directly through bcbsri. org prior to the meeting. To refer a patient to the BCBSRI BH Case Management program, please call 1-800-274-2958 or email triage_group@bcbsri. 1 Available within our service area for HMO & HMO-POS plans only/PPO plan has out-of-service benefit of 50% coinsurance/trip. Underwriting. If you have any questions regarding submitting a secure message, please contact our Provider and Physician Call Center at (401) 274-4848 or 1-800-230-9050 for out-of-state providers. If you have questions, please contact our Physician and Provider Service Center: (401) 274-4848 All plans offer this payment option and participation is voluntary. Rhode Island Help Center: Important contact information for Blue Cross & Blue Shield of Let us know what you think. All PCP visits (including sick visits) will now have a $0 copay for dates of services on or after January 1, 2025. Contact our Medicare Concierge team or visit one of our five Your Blue Store℠ locations. Using the links on the left, you can view the details of member, employer, and provider web accounts. Mental health counselors and marriage and family therapists will be allowed to render services to Medicare members. org for any additional issues 1. CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. If you think your member ID card has been stolen, you can: Contact the BCBSRI Anti-Fraud Hotline at 1-800-830-1444; Email SIU@bcbsri. 6 months before Contact Medicare for more information, including specific benefits and costs. Evaluation & Management services. The web administrator for your practice should follow their Nationwide outage at service provider. When entering a Servicing or Facility Provider, you may be presented with a choice to select either Par or Contracted status in the Servicing Provider field - Par should always be selected. Relations@bcbsri. © 2020 Blue Cross & Blue Shield of Rhode Island. Fill out the required information & click “Go. Following the call, we will post a summary of topics covered to our Provider Conference Info page on our secure provider portal. MVP. Before you visit a doctor on this list, please contact the office to make sure network membership is unchanged. You don’t have to do it alone. Updates from Provider Relations Review Claims Status Check Member Benefits & “Provider” and the “Credentialing Contact” Becoming a Participating Doula with BCBSRI 5 Step 4: Fill out your mailing address Medicare Advantage See all your options, compare plans, and enroll. BCBSRI credentials P B F . • Providers who did not attest to their information last quarter, have been excluded from the BCBSRI provider directory- Find a Doctor Tool. org for scheduling. First name. May 8, 2024. BCBSRI. All other providers may fax a prior authorization request to Utilization Management at (401) 272-8885. First name: * Medicare Advantage See all your options, compare plans, and enroll. If you have any questions regarding this training, please contact providerrelations@bcbsri. Log into My Health Toolkit ® and select the envelope icon at the top of the page to Forgot your Username? Let us help. Call BCBSRI Customer Service at 1-800-639-2227 for help. Let us know what you think. But if you do, and you have a BCBSRI Medicare Advantage plan, BCBSRI will pay the remainder of your drug costs, which means you would pay $0 for the rest of the year. - 4:30 p. Last updated August 15, 2024. When health benefits are easier to access and use, your employees are more likely to use them—which, over time, can help close gaps in care, improve health outcomes, and deliver greater value for your health BCBSRI to Introduce Provider Web PIN Self Service As previously communicated, we have introduced a web personal identification number (PIN) self-service capability. On the BCBSRI MHK Provider Portal, provider correspondence is now available under the “View Authorizations” section. If you are interested in BlueCHiP Direct Advance, call our sales team at (401) 459-1000 . and Group Hospitalization and Medical Services, Inc. org for assistance. To make the appeals process more efficient, please ensure you provide a valid name and phone number P B . There is not enough time for mail, so please complete an application online or call us at (401) 351-2583 (TTY: 711). 1/1/2024 Updates for provider offices to contact BCBSRI when a provider is leaving your practice. Not all health plans include Doctors Online. While the overall results announced at a public event Your primary care provider (PCP) can coordinate your care with specialists, labs, hospitals, and any other providers you might need. c. Sales. (This is a change from previous years, when you would have been responsible for 5% of what was known as catastrophic Looking for an easier way to organize all of the Blue Cross & Blue Shield of Rhode Island (BCBSRI) forms you use on a regular basis? The most commonly used forms are available below, including the Application Request and Practitioner Change Forms. com click on the Preauthorization hyperlink on the left-hand side of the page. If you do not know who your administrator is, contact your Provider Relations representative. com. Simply click the hyperlink of the correspondence you wish to view and the correspondence will appear in a new window. Sales support. This Medicare Prescription Payment Plan fact sheet has helpful information about the program and will be sent to all BCBSRI Medicare Part D members. Need help? Call the Care Management team at 1-844-563-0892 (TTY/TTD: 711). com account or need to make changes to a provider’s demographic information, please contact Provider Relations. The requesting provider of the authorization can now view correspondence which have been sent via fax or mail. com provider portal to request prior authorizations beginning October 1, 2019. As a reminder, there is a functionality on the BCBSRI Provider Portal that allows providers to send inquiries via secure messaging. 2. You’ll get a week’s worth of meals delivered to your door—up to four times a year—when you get home from an inpatient hospital stay. D-SNP FAQ; BCBSRI 2025 DSNP Training; Training Medicare Advantage See all your options, compare plans, and enroll. Phone. If you are not sure who your Provider Relations representative is you can reach out to Provider. BCBSRI participating providers will be able to obtain their PIN electronically when registering on bcbsri. Refer to the phone number on the back of your card. pdf Contact ProviderRelations@bcbsri. Last name. As a local institution that has served the community for 85 years, we know Medicare. To get the most up-to-date information about Group BlueCHiP for Medicare’s network providers in your area, you can visit www. You can find a copy of their HRA card in the “Alerts and Updates” section on the Provider portal. 10-20. • Providers must attest by December 31st (end of Q4) to ensure they Medicare Advantage See all your options, compare plans, and enroll. Like $3,000 for dental care $300 for eyeglasses an over-the-counter benefit free grocery delivery. For dates of service on or after October 1, 2019 providers must access EviCore by accessing the bcbsri. Click on Forms. A specific customer service center supports each member. This directory is a provider listing only and does not imply coverage of any particular BlueRI for Duals Provider FAQ BlueRI For Duals, Quick Facts Link to BlueRI for Duals 2024 Flyer: BMED-962947_2024_Duals_(DSNP)_Prospect_Flier_FA2. Credit and collections (401) 459-5821 Credit&Collection@bcbsri. Use My Health Toolkit ®. This list is current as of July 1, 2024, and is subject to change. Get easy access to your digital ID card, electronic documents (go paperless!), claim status, and benefit information—all in one place. Depending on your plan, you may need a referral from your primary care provider (PCP) before seeing a specialist or getting a test View their BCBSRI benefits; Select or update their primary care provider (PCP) Find doctors and labs in their health network; Compare costs for medical tests and procedures; Review detailed claims data; Check their deductible or health savings account (HSA) balance, if applicable; View all family members covered under their plan; Assign a delegate The notice shall be sent by certified mail, return receipt requested, postage prepaid. If you have any questions about changes to the behavioral health fee schedules, please contact Provider Relations at 1-844-707-5627 or email ProviderRelations@bcbsri. Once you become a participating (in network) Doula provider with BCBSRI, you will be able to gain access to the Provider Portal. Our Access to Care Standards establish access and monitoring standards that ensure members’ accessibility to PCPs, behavioral health providers, and specialists. m. Annually. BCBSRI. If the member is not active in BCBSRI’s system at the time Discover how BCBSRI boosts convenience and savings for you and your employees. Out-of-state: 1-800-676-2583 Physician and Provider Service Center (401) 274-4848 or 1-800-230-9050 Complex claims inquiries, policies and procedures, business practice change requests, and Web access Interested in joining Blue Cross & Blue Shield of Rhode Island? Enroll. com to order online and find information on your benefits. These sessions are typically 30-60 minutes long and will consist of a demo of the authorization process and trained staff Please Contact Physician and Provider Service Center: (401) 274-4848 1-800-230-9050 Monday through Friday, 8:00 a. . Members are able to elect into this program if they are actively enrolled in a Medicare Part D plan. Larger offices can continue to submit through their clearing BCBSRI invites providers to join us on Tuesday, April 9 from 10-11 a. Monthly . What information are you looking for? Reminder: Please attend a provider portal training session. com by following these easy steps: 1. See how BlueRI for Duals (HMO D-SNP) gives you so many extra benefits —at no extra cost to you. New Sales (401) 734-2409. Note: If user Enter in office Phone Number, and Fax number to ensure proper correspondence to office. View the OTC catalog. Simply put, your BCBSRI member ID card shows your doctor and other providers that you’re part of the nation’s most trusted health plan. REPORTING AND PAYMENT SCHEDULE 2020 Incentive Payment Schedule Program Year SUBMITTED THROUGH BCBSRI PROVIDER PORTAL The following fields are required: Phone Number Requesting Provider’s Phone number Fax Number This is the Fax Number BCBSRI will send correspondence to Contact Name The individual which correspondence will be addressed to Contact Phone The phone number BCBSRI will contact for Medical Review Request BCBSRI invites providers to join us on Tuesday, December 10, 2024 from 10-11 a. Explore plans. Already a BCBSRI Medicare Advantage member? Call your Medicare Concierge team (401) 277-2958 or 1-800-267-0439 (TTY: 711) ILS Meals is one of the nation’s largest nutritional providers, delivering high-quality, medically tailored therapeutic meals. FitOn health offers access to more than 13,000 gyms, studios, and community centers, plus a home fitness kit, unlimited premium digital fitness classes, and more. All demographic provider information should self-populate. 6064 EmployerSupport@bcbsri. org. When you arrive at a participating doctor's office or hospital, simply present your plan ID card. ProviderRelations@BCBSRI. Phone call response: After hours: Calls must be returned within one hour by the provider or covering provider. 2 Doctors Online is a telemedicine service provided by American Well®, an independent company that administers Doctors Online on behalf of BCBSRI. Jun 1, 2024. H4152_2019provdirectory_Accepted BlueCHiP for Medicare Provider Directory BlueCHiP for Medicare Core (HMO) BlueCHiP for Medicare Value (HMO-POS) BlueCHiP for Medicare Standard wit BCBSRI’s PQIP booklet contains acceptable codes for each of the PQIP measures. Call 1-866-304-2138 to order products over the phone. to return to your home page The BCBSRI wellness program makes it easy—and fun—to take steps toward better health. Employers; Brokers; Providers; Individuals & Families. Log on to the provider portal of BCBSRI. If you have any additional questions about these changes or webinar registration, please contact Provider Relations at 1-844-707-5627 or ProviderRelations@bcbsri. Jun 4, 2024. If you are a Preferred Provider Organization (PPO) member, the doctor will recognize the PPO Suitcase logo, which will ensure you will get the PPO level of benefits. BCBSRI is your contact for claims payment, problem resolution, and adjustments. In the middle of the Preauthorization page, locate the hyperlink for MHK under BCBSRI 9. Medicare copay for telemedicine correction reminder ; New vs existing patient audit ; Last live D-SNP training dates $0 meal delivery after an inpatient hospital stay. Login Required. Access to care standards for all providers. Important tips and guidelines $0 meal delivery after an inpatient hospital stay. High >20. com click on the Preauthorization hyperlink on the left-hand side of BCBSRI. Add Dependent Form (for plans purchased directly from BCBSRI) Use this form if you already have a policy with BCBSRI and need to add a new dependent (for example, newborn, spouse, etc. Interqual® Criteria; Developers; For any other provider inquiries not associated with this training, please email ClientServices@evicore. You can also emulate the web Email: BrokerOperations@bcbsri. that each provider is still accepting new members. Sign in to your Blue Cross Blue Shield of Rhode Island account. ©Copyright 2023 Blue Cross Welcome to the Customer Service Home Page. Larger offices can continue to submit through their clearing houses. Care Plan Update Frequency. Thanks for using Web Claims. You can contact us in a couple of ways: Check the back of your membership card for your specific customer service phone number . Nutrition plays a critical role in maintaining optimal health—and we want to help! BCBSRI offers our Medicare Advantage members a meal delivery program through ILS Meals by Independent Living Systems. Enter in Contact Name, and Phone Number of the person submitting the You can still submit your Medicare application, however, the application must be received by Saturday, December 7. 10. Contact Social Security to find out about eligibility and enrollment. Forms; Publications; Provider Tools; Behavioral Health Information; Spine Care Partners Training; Resource Guidebook • Providers who did not attest to their information last quarter, have been excluded from the BCBSRI provider directory- Find a Doctor Tool. Click the button below to login to your Benefits Pro Portal, or call us at 866-413-2582 (TTY: 711). If you After successful login to bcbsri. Aug 7, 2024. Jan 18, 2023. Items will be shipped to you at no cost. 11/17/2020 - Provider conference call regarding COVID-19 pandemic; 06/24/2020 - Provider conference call regarding COVID-19 pandemic; 06/10/2020 - Provider conference call regarding COVID-19 pandemic; 05/27/2020 - Provider conference call regarding COVID-19 pandemic; 05/20/2020 - Provider conference call regarding COVID-19 pandemic Did you know our secured Physician and Provider Portal offers the following: • Check member benefits and eligibility • View Remittance Advices (RAs) online • View claim status • Submit preauthorization requests through MHK • Send secure messages to our Physician & Provider Call Center team instead of calling Do you feel your office needs a better experience Dedicated contact for billing inquiries; 1-800-637-3718 ext. Click here. It is not likely that you will exceed the Stage 2 limit. Any trip over 20 miles will count as additional trips and will be subtracted from your 24 trip total. : 16675 For any other provider inquiries not associated with this training, please email ClientServices@evicore. The 2023 PQIP booklet and future updates can be found on the BCBSRI Provider Portal under Quality > Why choose BCBSRI? Network coverage; Pharmacy & prescriptions; What's included in all plans; Your Blue Store; Provider Credentialing and Recredentialing Process Upload date. This type of coordinated care makes it easier for you to find your way through the healthcare system so you can focus on getting or staying healthy. BCBSRI Outreach. Reach out to Provider. Small Group Quoting and Rating Questions. ). BCBSRI has dedicated resources to providing additional educational training sessions and we encourage all network providers to take advantage of this opportunity. The demographics submitted in the provider portal need to match our records exactly to locate the member for any requests for authorizations. Prior authorizations can be requested using the phone 1-888 If your agency has any authorization inquiries, please contact BCBSRI’s utilization management team at (401) 272-5670, option 4 or Prospect’s utilization management team at 1-844-762-9231. You don't have to be an expert to get great Medicare coverage. Or, on Saturday, December 7, you can submit your application in person at one of the following locations. to 4:30 p. We do this to ensure personalized service for every member. We encourage you to submit any questions you would like addressed during the call to ProviderRelationsSeminars@bcbsri. to your local Blue plan — BCBSRI. for a conference call with the Provider Relations team, who will provide updates and reminders on the following topics:. Português. We’re happy to help. What is Medicare Advantage See all your options, compare plans, and enroll. If the member is not active in BCBSRI’s system at the time Medicare Advantage See all your options, compare plans, and enroll. 3. for a conference call with the Provider Relations team, who will provide updates and reminders on important topics and changes for 2025. Jul 1, 2024. Click on Tools and Resources. We recommend that this notice be sent Attn: Provider Relations. Previously limited to four digits, this extension option allows for more accurate contact information, making communication with our UM team easier for those who have extensions more than four digits Pursuant to state law, some PCPs are duly licensed and appropriately certified nurse practitioners, physician assistants, as well as some Ob/Gyns who provide primary care services. All providers shall make necessary arrangements to ensure the availability of care to members on a 24/7 basis, including coverage by another physician/providers. Outpatient providers will be routed to our new MHK tool in September, rather than the current “Clear Coverage” platform. com Six-digit extension for contact phone number In the BCBSRI MHK Provider Portal, providers will now have the ability to add a six-digit extension to their contact phone number. Enter in office Phone Number, and Fax number to ensure proper correspondence to office. BlueCare Connect brings everything together. Section 6: Contact Information Call our Medicare Concierge team at 1-800 -267 -0439 (TTY -711). BCBSRI does not Credential Groups. Moderate. Your benefits allow for purchase of approved products and services. See MSK services. During business hours: Calls must be returned the same business day. Visit your nearest retail location or contact us. If you have questions, please contact the Utilization Management Department: (401) 272-5670 1-800-635-2477 (outside of Rhode Island only) (401) 272-8885 (fax) deem the action a violation of this policy and severe action will be taken up to and including termination from the BCBSRI provider network. ) Talk with family, friends, and doctors about your options, but remember that their situations may not be the same as yours. Click on Case Management $0 national gym membership and home fitness kits. When you became a BCBSRI member, one of the first—and most important—items you received from us was your member ID card, your key to getting healthcare coverage. A primary care provider (PCP) who is your "regular" doctor and provides referrals for specialists, tests, and some other services; A limited network that includes 500+ PCPs, 1,800+ specialists, and Brown University Health hospitals: Rhode Island Hospital, Hasbro Children’s, The Miriam Hospital, Bradley Hospital, and Newport Hospital Self-guided Study: Complete the 2025 Provider Attestation form Point of Contact. Provider Finder Search: Before you begin your search, please note: We update our provider listings frequently, but our networks change constantly. Teams based group instruction beginning in Q4 through Q1 of the active D-SNP year. Note: If user Phone Number, and Fax number of the person submitting the request. Some forms can be submitted online, and others can be printed and then faxed or mailed to us. Get started: call BCBSRI at (401) 459-CARE or contact the nurse care manager with your primary care provider (PCP) for more Your BCBSRI Individual plan includes coverage for your prescription drugs. Let's talk Attend an in-person or online event Medicare Advantage See all your options, compare plans, and enroll. If you Find a provider. Care Management. Forgot username? Forgot password? Need to register? How can we You can contact us in a couple of ways: Check the back of your membership card for your specific customer service phone number. ; February 15 - September 30, Reach out to Provider. for a conference call with the Provider Relations team, who will provide important updates and reminders. If you do not know who your Administrator is, contact your Provider Relations Representative. Please go to MyBenefits. (This condition does not apply to BlueCHiP for Medicare members. BCBSRI or BCBSMA, contact the customer service number located on the back of the member’s ID card. If you do not have access to our bcbsri. Practice Staff? Login Here. d. Enter in Contact Name, Phone Number, and Fax number of the person Reach out to Provider. Forgot your Password? Let us help. Broker of Record/Disaffiliations; Commissions & VUE/Vertafore Broker Portal; Broker Portal . We also offer a plan, BlueCHiP Direct Advance, that includes a smaller network of providers than the BlueCHiP Direct plan. To attend the session online, please join using Microsoft Teams. In order to complete this request, please be sure that you have successfully logged in to the website. Medicare can be confusing. Why choose BCBSRI? Network coverage; Pharmacy & prescriptions; What's included in all plans; Your Blue Store; Prior Authorization of Cardiology and Radiology Services Upload date. ] To obtain a Prior Authorization after-hours, providers may contact OptumRx at the following numbers: Medicare: 866-235-1793, ext. Care Manager. Contact phone number. That's our job. Programs and services are often disconnected, and it can be difficult to find the right care or even know where to turn for help. com portal or experiencing issues, please contact your system administrator to gain access to bcbsri. We are currently beginning the pilot stage of our testing, and are hoping to go live for all providers in January of 2024. Change your 2024 medical and dental plan; Cancel your electronic payments ; Add Dependent Form (for plans purchased directly from BCBSRI) Beginning January 1, 2025, BCBSRI requires that participating providers who treat or diagnose patients for substance use disorders or refer patients for treatment of substance use disorders and are subject to the Confidentiality of Substance Use Requests for authorization of genetic testing should be submitted via the BCBSRI online prior authorization tool, which is available to BCBSRI-participating providers. We encourage you to submit any questions you would like addressed during the call related to the topics above, or to other topics, to ProviderRelationsSeminars@bcbsri. NationsBenefits. MedSolutions call center is not open, BCBSRI providers have two options : Option 1 [Option 1 is the preferred option for after-hours requests. com provider portal, you will be all set! If you do not have access to the provider portal, please contact Provider Relations at ProviderRelations@bcbsri. This new, more efficient process eliminates the need to mail or fax a As an in-network provider with the BlueRI for Duals (HMO-D-SNP) network, you are required to take an initial training that is due by March 31, 2025 and annual refresher training on a yearly basis. Some BCBSRI customers were affected by a cyberattack at a major service provider, but we have now returned to normal billing procedures. Quarterly . View PDF. org prior Contact; Español. After successful login to bcbsri. See slide 7 for MVP criteria. from BCBSRI’s providers and health system partners, as well as the healthcare industry. 2024. January 1, 2024 updates PBF. Providers and doctors call these Blue Cross & Blue Shield Rhode Island phone numbers for eligibility and other questions. 2025 as that is when the new product will be active for the member. BCBSRI invites providers to join us on Tuesday, March 12 from 10-11 a. Privacy Statement · Terms & Conditions. Here you’ll find links to important resources you’ll need to get the most out of your coverage. Learn how this affects you: Members; Employers Medicare Advantage See all your options, compare plans, and enroll. Don’t have an account? We comply with applicable Federal civil rights laws and do not discriminate on the basis of For other language assistance or translation services, please call the customer service number for your local Blue Cross and Blue Shield company. Provider Code* Username* Password* Register login. Attestation is required and confirms training is Or you can contact Customer Service at (401) 459-5000 or 1-800-639-2227 (outside RI). Small Group contacts Existing Sales. ppdh lmvyyk ckx zbvef prlucp eaf dwnx jceioq cefgm bvnw