Bcbsri login provider phone number. Email: MedicareBrokerSupport@bcbsri.
- Bcbsri login provider phone number Email: BrokerOperations@bcbsri. m. Phone number: * Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association. Services requiring claims submission A claim must be submitted for all services not included in a capitation compensation arrangement. Programs & services. Please note that only physicians/providers who are participating with Blue Cross and have an NPI may obtain a PIN. Sep 1, 2022 · Medicare Advantage See all your options, compare plans, and enroll. Submit the form to: Blue Cross & Blue Shield of Rhode Island 500 Exchange Street Providence , RI 02903 Medicare Advantage See all your options, compare plans, and enroll. 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. Phone. In order to complete this request, please be sure that you have successfully logged in to the website. 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. com or by calling the Provider Service Center at 401-274-4848 or 1-800-230-9050. Using secure messaging, you can ask questions about: Eligibility/prior authorization/benefits – For Rhode Island members only Nov 14, 2023 · for provider offices to contact BCBSRI when a provider is leaving your practice. Please contact our Customer Service number at 1-800-267-0439 (TTY/TDD users should call 711). 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. Section 6: Contact Information Call our Medicare Concierge team at 1-800 -267 -0439 (TTY -711). Complete a CMS-1500 claim form. Apr 4, 2002 · Contact Us | Login Home; Home. , which are independent licensees of the Blue Cross and Blue Shield Association. Login Required. Other updates . It combines a personalized digital experience (online or on the app) with one-on-one support from Care Guides, registered nurses, and health coaches. You also can view a quick summary of benefits below: 2025. and Group Hospitalization and Medical Services, Inc. Broker Operations. All Other Medicare Inquiries. . Please note this information would not be shared outside of BCBSRI. Dec 1, 2024 · Medicare Advantage See all your options, compare plans, and enroll. 2. Click here. All Practitioner Change Forms can be faxed to Blue Cross & Blue Shield of Rhode Island is an HMO plan with a Medicare contract. 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. If you are not sure who your Provider Relations representative is you can reach out to Provider. Check your plan wherever you are. 5 EyeMed Vision Care is an independent company, contracted by Blue Cross & Blue Shield of Rhode Island to provide vision hardware benefit management services. Enrollment in Blue Cross & Blue Shield of Rhode Island depends on contract renewal. This information is available for free in other languages. 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. Please contact your account executive or call our main number at (401) 459-1000 or 1-800-637-3718 outside Rhode Island. BlueLine (401) 272-1590 or 1-800-327-6712 Routine membership, eligibility, benefit information, and claims status for all Blue Cross & Blue Shield of Rhode Island members Hours: 24 hours a day, seven days a week Download instructions on how to use BlueLine. Thursday 12/19/2024 11:14 PM EST Healthcare providers and Billing Agents can enroll as a Trading Partner with RI Medicaid. When you arrive at a participating doctor's office or hospital, simply present your plan ID card. Medicare Advantage See all your options, compare plans, and enroll. Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association. to return to your home page 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. 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. To register, please select one of the following categories: and review our Frequently Asked Questions or contact Customer 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. Nov 1, 2024 · Medicare Advantage See all your options, compare plans, and enroll. D-SNP FAQ; BCBSRI 2025 DSNP Training; Training Attestation 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. Benefit Inquiries; Application Status (Please Allow 7-10 days) Claims, eligibility, account inquiries . Practitioner Change Forms are locations at bcbsri. Welcome to BCBSRI's online services. CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. com eligibility results = John Smith-Rodriguez / provider will not find member with an MHK search = John Smith Rodriguez. org. We do this to ensure personalized service for every member. Information may be provided by phone, mail, or email by Blue Cross & Blue Shield of Rhode Island licensed, authorized representatives. Refer to the phone number on the back of your card. Phone: (401) 459-5545. Items will be shipped to you at no cost. Contact Heather Andrade Blue Cross & Blue Shield of Rhode Island 500 Exchange Street Providence, RI 02903-2699 Providers and doctors call these Blue Cross & Blue Shield Rhode Island phone numbers for eligibility and other questions. Blue Cross & Blue Shield of Rhode Island is an HMO and PPO plan with a Medicare contract. X. Let us know what you think. Please refer the user to the administrator of the account to add any provider (s) to your provider access list as needed. Get easy access to your digital ID card, electronic documents (go paperless!), claim status, and benefit information—all in one place. This function is only used for out-of-network providers who are not loaded into our provider portal. Explore plans Phone number: * Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield BlueCare Connect is BCBSRI’s enhanced member service and support model. A specific customer service center supports each member. for a conference call with the Provider Relations team, who will provide important updates and reminders Medicare Advantage See all your options, compare plans, and enroll. 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 Please Contact Physician and Provider Service Center: (401) 274-4848 Blue Cross & Blue Shield of Rhode Island 500 Exchange Street Providence, RI 02903; 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. View the OTC catalog. You can contact us in a couple of ways: Check the back of your membership card for your specific customer service phone number . Don’t see your provider on the BCBSRI portal? Please note that only your office administrator can add providers to your BCBSRI. Mar 1, 2024 · BCBSRI invites providers to join us on Tuesday, March 12 from 10-11 a. 3 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. 5 Example: BCBSRI. If you have any questions regarding this training, please contact providerrelations@bcbsri. Blue Cross & Blue Medicare Advantage See all your options, compare plans, and enroll. Contact our Medicare Concierge team or visit one of our five Your Blue Store℠ locations. Relations@bcbsri. Secure messaging is located on the left-hand tool bar once you log in to bcbsri. BCBSRI has also made other rate adjustments in its fee schedule, both upward and downward, generally following Medicare changes and continuing its Users may have many providers listed, please ensure the provider associated to the authorization request is loaded into their provider portal view. Medicare Advantage See all your options, compare plans, and enroll. Failing to provide direct contact information may delay the provider's enrollment request. You can fax it to (401) 459-1137 or mail it to: Attn: Provider COB â 00043 Blue Cross & Blue Shield of Rhode Island Apr 1, 2024 · BCBSRI invites providers to join us on Tuesday, April 9 from 10-11 a. Out-of-State Plans 1-800-676-BLUE (2583) To register for the secure provider site, you’ll need to get a PIN. Commissions & VUE/Vertafore Broker Portal; Medicare Certification . The provider data results are driven by tax ID and NPI. Procedures 1. You must provide 60 days notice to BCBSRI when a provider is no longer going to be practicing for your group. 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. To request a PIN: Go to the portal registration page and select Provider. Requesting Provider Address Office Contact Name: Requesting Provider City 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. ; Medicare Supplement Help cover costs with a Plan 65 option. Email: MedicareBrokerSupport@bcbsri. Dental Direct Basic; Dental Direct Standard; Dental Direct Plus; Dental Direct Elite BCBSRI. Please note from time to time it may be necessary for our Medical Director or their designee to speak to the provider directly. com Dec 10, 2024 · All trademarks unless otherwise noted are the property of Blue Cross & Blue Shield of Rhode Island or the Blue Cross and Blue Shield Association. In the BCBSRI MHK Provider Portal, providers will now have the ability to add a six-digit extension to their contact phone number. com. Use My Health Toolkit ®. 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. 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 See MSK services. Jul 1, 2023 · As a reminder, there is a functionality on the BCBSRI Provider Portal that allows providers to send inquiries via secure messaging. Jun 1, 2022 · If you do not know who your administrator is, contact your Provider Relations representative. Referral An order from your primary care provider (PCP) for you to receive care from another doctor, specialist, or medical facility. All trademarks unless otherwise noted are the property of Blue Cross & Blue Shield of Rhode Island or the Blue Cross and Blue Shield Association. 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 Oct 1, 2021 · You can still submit your Medicare application, however, the application must be received by Saturday, December 7. Contact Us. After the out-of-pocket is met, in-network covered services are paid at 100% by Blue Cross & Blue Shield of Rhode Island. Call 1-866-304-2138 to order products over the phone. Important tips and guidelines 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. com > Providers > Forms. ; Extra Help Plans Medicare + Medicaid and the new Access plans. • The system requires that the Member Date of Birth be entered into mm-dd-yyyy format. If your patient has other coverage, please complete this form. 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. Out-of-state: 1-800-676-2583 Sign in to your Blue Cross Blue Shield of Rhode Island account. There is not enough time for mail, so please complete an application online or call us at (401) 351-2583 (TTY: 711). 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. Read and acknowledge the Terms and Conditions and click Continue. oosqy faend bgbwoh vpxqtqe mxdjui ostztpgg trxtkw ibxaperk slr cdkle
