Bcbsri login provider phone number. Apr 4, 2002 · Contact Us | Login Home; Home.

Bcbsri login provider phone number Reach out to Provider. Pay your monthly premium, if you have an individual plan. Apr 1, 2022 · Please note, providers contracted with BCBSRI and utilizing our provider portal should not check the “Non-Participating Provider” box associated with the “Requesting Provider” field. com All trademarks unless otherwise noted are the property of Blue Cross & Blue Shield of Rhode Island or the Blue Cross and Blue Shield Association. Important tips and guidelines Medicare Advantage See all your options, compare plans, and enroll. Nov 1, 2024 · Medicare Advantage See all your options, compare plans, and enroll. Learn how this affects you: Members; Employers Medicare Advantage See all your options, compare plans, and enroll. X. Get easy access to your digital ID card, electronic documents (go paperless!), claim status, and benefit information—all in one place. An independent licensee of the Blue Cross and Blue Shield Association. Some BCBSRI customers were affected by a cyberattack at a major service provider, but we have now returned to normal billing procedures. We typically recommend that dentists contact us before performing any services in excess of $250 to determine whether the member has met his/her annual maximum for dental services. Provider Assistance Team For help with eligibility, benefits, prior authorization, claim status, and fee schedule information: 602-864-4320 / 1-800-232-2345 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. EST. Select the ‘Yes’ radio button under the Requesting Provider Same as Servicing Provider question if the servicing provider is the same. 12. Primary care visit Your PCP is the main doctor, nurse practitioner, or physician’s assistant you go to for regular healthcare. Are you taking care of a family member or friend? Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association. Therefore, we would like to inform you that there is a new language resource available to you on the BCBSRI provider portal. 6064 EmployerSupport@bcbsri. New Sales (401) 734-2409. Jun 1, 2022 · If you do not know who your administrator is, contact your Provider Relations representative. The requesting provider of the authorization can now view correspondence which have been sent via fax or mail. With a single log-in or phone call, your clients' employees can access health and wellness apps, plan information, care management, and customer service—and get personalized health support from Care Guides, nurses, and coaches. Dec 1, 2024 · Medicare Advantage See all your options, compare plans, and enroll. Apr 18, 2024 · Step: Action: 1: Dial 1-833-958-2202 and enter the code for the language you are requesting. If you are not sure who your Provider Relations representative is you can reach out to Provider. Underwriting. Practitioner Change Form Section 1 – General Information DIRECTIONS: Please check all that apply and fill in sections as directed. This function is only used for out-of-network providers who are not loaded into our provider portal. A specific customer service center supports each member. Enter in Contact Name, and Phone Number of the person submitting the request. We encourage you to submit any questions you would like addressed during the call to ProviderRelationsSeminars@bcbsri. Jan 1, 2024 · BCBSRI uses eviCore for high-end radiology and cardiology prior authorizations and spine surgery for Medicare Advantage members. Contact Customer Service at the number listed on your ID card. Email: gloria. com is powered by Alegeus Technologies on behalf of Blue Cross & Blue Shield of Rhode Island and Alegeus is not affiliated with Blue Cross & Blue Shield of Rhode Island. 5 days ago · All trademarks unless otherwise noted are the property of Blue Cross & Blue Shield of Rhode Island or the Blue Cross and Blue Shield Association. Let us know what you think. By Mail. 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. On January 1, BlueCare Connect will replace myBCBSRI. This feature will show any open authorizations and up to six months of approved authorizations. Providers and doctors call these Blue Cross & Blue Shield Rhode Island phone numbers for eligibility and other questions. 0 All trademarks unless otherwise noted are the property of Blue Cross & Blue Shield of Rhode Island or the Blue Cross and Blue Shield Association. It combines a personalized digital experience (online or on the app) with one-on-one support from Care Guides, registered nurses, and health coaches. Information may be provided by phone, mail, or email by Blue Cross & Blue Shield of Rhode Island licensed, authorized representatives. Effective March 1, 2024, eviCore will be transitioning their authorization portal. Complete a CMS-1500 claim form. A customer service representative will respond to your request within one business day. Dedicated contact for billing inquiries; 1-800-637-3718 ext. Contact NH support number 1-800-928-1558>, The Sound Choice for Providers All trademarks unless otherwise noted are the property of Blue Cross & Blue Shield of Rhode Island or the Blue Cross and Blue Shield Association. Please contact your account executive or call our main number at (401) 459-1000 or 1-800-637-3718 outside Rhode Island. org prior to the meeting Enrollment in Blue Cross & Blue Shield of Rhode Island depends on contract renewal. mywealthcareonline. If the member has a PPGRI PCP, you will be transferred to A Group Medicare Advantage plan from BCBSRI can give you an edge in both the recruitment—and retention—of top talent. When you arrive at a participating doctor's office or hospital, simply present your plan ID card. ; Saturday, 8:00 a. Registered successfully. org for any additional issues 1. If the code is not available, speaking the name of the language or typing in the first few letters of the language will work. 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 long. Items will be shipped to you at no cost. Failing to provide direct contact information may delay the provider's enrollment request. Select how many miles away the provider may be from the above zip code: Within zip code 5 10 15 25 30 Languages After the out-of-pocket is met, in-network covered services are paid at 100% by Blue Cross & Blue Shield of Rhode Island. You must provide 60 days notice to BCBSRI when a provider is no longer going to be practicing for your group. Saturday 12/21/2024 12:16 AM EST Healthcare providers and Billing Agents can enroll as a Trading Partner with RI Medicaid. Feb 1, 2024 · BCBSRI uses eviCore for high-end radiology and cardiology prior authorizations and spine surgery for Medicare Advantage members. BlueRI for Duals (HMO D-SNP) Read full Summary of Benefits 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. Users may have many providers listed, please ensure the provider associated to the authorization request is loaded into their provider portal view. q Tax ID Change – Complete Sections 1 and 2. hollis@bcbsri. Using secure messaging, you can ask questions about: Eligibility/prior authorization/benefits – For Rhode Island members only BCBSRI. During the pandemic, we’ve made temporary changes to help you access needed care—with no added worries about cost. Forms; Publications; Provider Tools; Behavioral Health Information; Spine Care Partners Training; Resource Guidebook Register login. Don’t see your provider on the BCBSRI portal? Please note that only your office administrator can add providers to your BCBSRI. Doctors Online is not intended to replace these services and should not be used in those circumstances. In order to complete this request, please be sure that you have successfully logged in to the website. 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 information Hours: Monday through Friday, 8:00 a. • The system requires that the Member Date of Birth be entered into mm-dd-yyyy format. 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 Users may have many providers listed, please ensure the provider associated to the authorization request is loaded into their provider portal view. We do this to ensure personalized service for every member. ” Upon completion of the form, your PIN will be emailed to you. Oct 1, 2021 · All trademarks unless otherwise noted are the property of Blue Cross & Blue Shield of Rhode Island or the Blue Cross and Blue Shield Association. Let's talk Phone number: * How can we help you? Oct 1, 2021 · All trademarks unless otherwise noted are the property of Blue Cross & Blue Shield of Rhode Island or the Blue Cross and Blue Shield Association. Y0146_web_2022 To access your login and benefits, we'll help you find your local Blue Cross and Blue Shield company website. com or by calling the Provider Service Center at 401-274-4848 or 1-800-230-9050. The web administrator for your practice should follow their H4152_2019provdirectory_Accepted BlueCHiP for Medicare Provider Directory BlueCHiP for Medicare Core (HMO) BlueCHiP for Medicare Value (HMO-POS) BlueCHiP for Medicare Standard wit Dental services covered under the member’s dental benefits. Find a dentist and access patient information including benefits, claims status, and procedure history. Credit and collections (401) 459-5821 Credit&Collection@bcbsri. If your patient has other coverage, please complete this form. If you do not have access to our bcbsri. We are currently beginning the pilot stage of our testing, and are hoping to go live for all providers in January of 2024. BCBSRI to Introduce Provider Web PIN Self Service As previously communicated, we have introduced a web personal identification number (PIN) self-service capability. Other updates . If you are having trouble receiving your PIN, please contact Provider Relations at ProviderRelations@bcbsri. Relations@bcbsri. 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 BlueCare Connect is BCBSRI’s enhanced member service and support model. Facility Call Center (401) 274-3103 or 1-800-637-3718, ext. If you have any questions or require additional information please contact the Physician and Provider Service Center at 401-274-4848 Call London Health Toll-Free at 1-800-343-2236 and learn how we can provide custom healthcare plan solutions for your organization. and Group Hospitalization and Medical Services, Inc. 2. Login Required. to 4:30 p. Larger offices can continue to submit through their clearing Nov 1, 2024 · Medicare Advantage See all your options, compare plans, and enroll. to noon. Jun 1, 2021 · • Send secure messages to our Physician & Provider Call Center team instead of calling . You can contact us in a couple of ways: Check the back of your membership card for your specific customer service phone number . please contact the employer who provides your Oct 1, 2021 · All trademarks unless otherwise noted are the property of Blue Cross & Blue Shield of Rhode Island or the Blue Cross and Blue Shield Association. After the out-of-pocket is met, in-network covered services are paid at 100% by Blue Cross & Blue Shield of Rhode Island. Services requiring claims submission A claim must be submitted for all services not included in a capitation compensation arrangement. for a conference call with the Provider Relations team, who will provide important updates and reminders. Before you visit a doctor on this list, please contact the office to make sure network membership is unchanged. Contacts: Gloria Hollis – Group names beginning with A-L. Check patient eligibility to verify effective dates of coverage, copays, deductibles, and other information. Dec 1, 2024 · BCBSRI invites providers to join us on Tuesday, December 10, 2024 from 10-11 a. Call 1-866-304-2138 to order products over the phone. for a conference call with the Provider Relations team, who will provide important updates and reminders Effective 3/5/2024, the management of Blue Cross Blue Shield of Rhode Island (BCBSRI) prior authorizations through EviCore will transition from the MedSolutions portal platform to the CareCore National portal platform. to 8:00 p. Thursday 12/19/2024 02:03 PM EST Healthcare providers and Billing Agents can enroll as a Trading Partner with RI Medicaid. To do this, you may contact the Dental Provider Services at 1-800-882-1178. Sep 1, 2023 · On the BCBSRI MHK Provider Portal, provider correspondence is now available under the “View Authorizations” section. Please send all correspondence to: Blue Cross & Blue Shield of In the case of an emergency, you should always call 911. 5 EyeMed Vision Care is an independent company, contracted by Blue Cross & Blue Shield of Rhode Island to provide vision hardware benefit management services. 6067 Fax: (401) 459-2287 Check status of all claims submitted with your National Provider Identifier (NPI). Section 6: Contact Information Call our Medicare Concierge team at 1-800 -267 -0439 (TTY -711). Please note this information would not be shared outside of BCBSRI. All Practitioner Change Forms can be faxed to Blue Cross & Blue Shield of Rhode Island is an HMO plan with a Medicare contract. Dental Direct Basic; Dental Direct Standard; Dental Direct Plus; Dental Direct Elite Jul 1, 2023 · As a reminder, there is a functionality on the BCBSRI Provider Portal that allows providers to send inquiries via secure messaging. Please contact our Customer Service number at 1-800-267-0439 (TTY/TDD users should call 711). Sign in to your Blue Cross Blue Shield of Rhode Island account. ; Medicare Supplement Help cover costs with a Plan 65 option. CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. Use My Health Toolkit ®. Small-Group 11. for a conference call with the Provider Relations team, who will provide updates and reminders on the following topics: Medicare copay for telemedicine correction reminder ; New vs existing patient audit ; Last live D-SNP training dates; Policy Update – Laparoscopically Dec 1, 2024 · 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. To register, please select one of the following categories: and review our Frequently Asked Questions or contact Customer Apr 1, 2024 · BCBSRI invites providers to join us on Tuesday, April 9 from 10-11 a. The forms are located under the Provider tab, HIPAA Transactions. Note: Members with Medicare plans will continue to use myBCBSRI. Jun 1, 2020 · Click here for a Provider Identification Number (PIN). Phone: (401) 734-2409. com. Please contact your dedicated Account Executive. Click here. The provider data results are driven by tax ID and NPI. Benefits can be viewed as a reward for years of company service; Employees and retirees recognize value in plans offered by BCBSRI; Employees of all ages value wellness and preventive care programs need to complete additional paperwork and testing with BCBSRI to become established before you receive the ERA. , which are independent licensees of the Blue Cross and Blue Shield Association. Requesting Provider Address Office Contact Name: Requesting Provider City Nov 14, 2023 · for provider offices to contact BCBSRI when a provider is leaving your practice. Already a BCBSRI Medicare Advantage member? You can file claims electronically or on paper for Blue Cross & Blue Shield of Rhode Island plan members and out-of-state Blue Cross & Blue Shield plan members. Doctors Online is a telemedicine service provided by American Well®, an independent company that administers Doctors Online on behalf of BCBSRI. You also can view a quick summary of benefits below: 2025. to return to your home page Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association. BCBSRI has also made other rate adjustments in its fee schedule, both upward and downward, generally following Medicare changes and continuing its If the training is still outstanding after the 10-day period, the deficiency will be referred to the BCBSRI Medical Director for additional follow-up and assistance. This information is available for free in other languages. Small Group Quoting and Rating Questions. org If you are deaf, hard of hearing, or have a speech disability, dial 711 for TTY relay services. org. ; Extra Help Plans Medicare + Medicaid and the new Access plans. Follow the steps below to access Mar 1, 2024 · BCBSRI is committed to improving health equity for our members and the healthcare system. Aug 15, 2024 · Nationwide outage at service provider. Apr 4, 2002 · Contact Us | Login Home; Home. Practitioner Change Forms are locations at bcbsri. May 1, 2022 · BCBSRI providers can view authorizations in the MHK provider portal by expanding the drop-down and selecting “View Authorizations” on the left side of the page. 100% coverage makes care easier to access. Secure messaging is located on the left-hand tool bar once you log in to bcbsri. Refer to the phone number on the back of your card. com portal or experiencing issues, please contact your system administrator to gain access to bcbsri. D-SNP FAQ; BCBSRI 2025 DSNP Training; Training Attestation A provider of services with fewer than 25 full-time equivalent employees or; A physician, practitioner, facility, or supplier (other than provider of services) with fewer than 10 full-time equivalent employees. Blue Cross & Blue Shield of Rhode Island 500 Exchange Street Claim form used when services are rendered outside of United States. Small offices will be able to submit claims directly through bcbsri. See MSK services. Provider Finder Search: Before you begin your search, please note: We update our provider listings frequently, but our networks change constantly. For other language assistance or translation services, please call the customer service number for your local Blue Cross and Blue Shield company. Find a doctor or other health care provider who accepts your plan. m. Please refer the user to the administrator of the account to add any provider (s) to your provider access list as needed. Call us if you’d like an orientation at your office about provider publications or: 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. Dec 13, 2023 · Coming soon BCBSRI will be introducing online web claim submission through bcbsri. Oct 1, 2021 · Looking for a Medicare Advantage plan? Talk to our Medicare Sales team 1-800-505-BLUE (2583) (TTY: 711) Or request a sales call. Procedures 1. Phone hours: Monday through Friday, 8:00 a. Oct 1, 2021 · You can still submit your Medicare application, however, the application must be received by Saturday, December 7. How do I get reimbursed for the medical expenses I paid? If your medical expenses are eligible for reimbursement, please submit your receipts, along with your name, address, and member ID number to: Blue Cross & Blue Shield of Rhode Island For escalations and support with issues, contact your assigned Provider Relations Contact or email us at: ProvRelations@azblue. If you have questions about whether or not your claims meet all conditions of a “clean claim,” you may contact the Physician and Provider Service Center at (401)-274-4848 or 1-800-230-9050. Refer to your Benefit Summary. Explore plans Phone number: * Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Please Contact Physician and Provider Service Center: (401) 274-4848 Blue Cross & Blue Shield of Rhode Island 500 Exchange Street Providence, RI 02903; Mar 1, 2024 · BCBSRI invites providers to join us on Tuesday, March 12 from 10-11 a. Submit the form to: Blue Cross & Blue Shield of Rhode Island 500 Exchange Street Providence , RI 02903 5 days ago · All trademarks unless otherwise noted are the property of Blue Cross & Blue Shield of Rhode Island or the Blue Cross and Blue Shield Association. By submitting this form, I understand that I will be contacted by Blue Cross & Blue Shield of Rhode Island about Medicare Advantage products available for my needs. All trademarks unless otherwise noted are the property of Blue Cross & Blue Shield of Rhode Island or the Blue Cross and Blue Shield Association. See how close you are to meeting your deductible or out-of-pocket limit. If you have a Health Savings Account, Flexible Saving Account, and /or Health Reimbursement Arrangement, your account is held by UMB and UMB is not You can also find our telephone numbers and hours of operation on the Contact Us page. 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. Enrollment in Blue Cross & Blue Shield of Rhode Island depends on contract renewal. Sep 1, 2022 · Medicare Advantage See all your options, compare plans, and enroll. Medicare Advantage See all your options, compare plans, and enroll. In the BCBSRI MHK Provider Portal, providers will now have the ability to add a six-digit extension to their contact phone number. You can contact us online anytime day or night with Secure Messaging. Oct 11, 2019 · Medicare Advantage See all your options, compare plans, and enroll. Last updated August 15, 2024. og to set up a provider portal orientation. com > Providers > Forms. 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 Oct 1, 2021 · All trademarks unless otherwise noted are the property of Blue Cross & Blue Shield of Rhode Island or the Blue Cross and Blue Shield Association. Small Group contacts Existing Sales. Habla usted español? Online. Phone number: * Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association. *By clicking this link, you will leave the BCBSRI website. View the OTC catalog. If you do not know who your Administrator is, contact your Provider Relations Representative. A PCP is a physician (MD or DO) who is board-certified or trained in internal medicine, pediatrics, or family medicine. Contact our Medicare Concierge team or visit one of our five Your Blue Store℠ locations. Welcome to BCBSRI's online services. There is not enough time for mail, so please complete an application online or call us at (401) 351-2583 (TTY: 711). BCBSRI's privacy policies do not apply to non-BCBSRI websites. Blue Cross & Blue Shield of Rhode Island is an HMO and PPO plan with a Medicare contract. Email: BrokerOperations@bcbsri. Note: Lowest estimated monthly premium, assumes you are 65 and do not use tobacco. Fill out the required information & click “Go. Blue Cross & Blue Shield of Rhode Island PO Box 1057 Providence, RI 02901. Simply click the hyperlink of the correspondence you wish to view and the correspondence will appear in a new window. You can fax it to (401) 459-1137 or mail it to: Attn: Provider COB â 00043 Blue Cross & Blue Shield of Rhode Island Oct 1, 2024 · As in past years, BCBSRI is updating its allowable amounts/rates for common evaluation and management (E&M) services for primary care providers (PCP), as well as specialist providers. Sales support. 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 All trademarks unless otherwise noted are the property of Blue Cross & Blue Shield of Rhode Island or the Blue Cross and Blue Shield Association. Please note from time to time it may be necessary for our Medical Director or their designee to speak to the provider directly. If you have any questions regarding this training, please contact providerrelations@bcbsri. Nov 1, 2024 · BCBSRI invites our participating providers to join us on Tuesday, November 12 from 10-11 am. Hours of Operation: Mon-Fri, 8:30 a. BCBSRI participating providers will be able to obtain their PIN electronically when registering on bcbsri. Blue Cross & Blue Shield of Rhode Island is an HMO plan with a Medicare contract. Sales. for a conference call with the Provider Relations team, who will provide updates and reminders on important topics and changes for 2025. Oct 1, 2024 · 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). Contact ProviderRelations@bcbsri. Phone. Inquiry@bcbsri. This new, more efficient process eliminates the need to mail or fax a Primary care providers (PCPs) accept responsibility for arranging and coordinating the overall healthcare of BCBSRI members. Understanding and meeting the linguistic needs of our members is a shared concern of BCBSRI and our contracted providers. Programs & services. Note: Rates shown go into effect on 7/1/2024 and are effective through 6/30/2025. Referral An order from your primary care provider (PCP) for you to receive care from another doctor, specialist, or medical facility. Check your plan wherever you are. com eligibility results = John Smith-Rodriguez / provider will not find member with an MHK search = John Smith Rodriguez. Broker of Record/Disaffiliations; Commissions & VUE/Vertafore Broker Portal; Broker Portal . Do you feel your office needs a better experience with our secured Provider Portal? Let our Provider Relations team help guide you through the portal. Blue Cross & Blue Medicare Advantage See all your options, compare plans, and enroll. To process claims timely and accurately, it's important that we know if a patient has any health insurance coverage other than Blue Cross & Blue Shield of Rhode Island. Effective March 1, 2024, eviCore has transitioned their authorization portal to Carecore National. You may also call the BCBSRI Physician & Provider Service Center at (401) 274-4848 or 1-800-230-9050. Notes: RULES: If you are requesting for an outpatient facility enter as servicing 12. 5 Example: BCBSRI. Rhode Island Help Center: Important contact information for Blue Cross & Blue Shield of Rhode Island. . Your actual monthly premium will be determined when you apply. hmny mqmbqr logueop wibin xbz dodx efos ggceothh fvtst tdajxa