Bcbsri provider phone number Blue Cross & Blue Shield of Rhode Island is an HMO and PPO plan with a Medicare contract. for a conference call with the Provider Relations team, who will provide updates and reminders on important topics and changes for 2025. After the out-of-pocket is met, in-network covered services are paid at 100% by Blue Cross & Blue Shield of Rhode Island. If you are not sure who your Provider Relations representative is you can reach out to Provider. English and review the Provider Administrative Manual. 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 Please contact your account executive or call our main number at (401) 459-1000 or 1-800-637-3718 outside Rhode Island. Refer to the phone number on the back of your card. Check patient eligibility to verify effective dates of coverage, copays, deductibles, and other information. Services requiring claims submission A claim must be submitted for all services not included in a capitation compensation arrangement. com 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. Dec 1, 2024 · BCBSRI invites providers to join us on Tuesday, December 10, 2024 from 10-11 a. com > Providers > Forms. org. Relations@bcbsri. Important tips and guidelines about the program in the 2016 PCP Quality Incentive Program booklet. 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 Medicare Advantage See all your options, compare plans, and enroll. BCBSRI’s BH staff will be in touch with you within 3 business days to provide your authorization number needed for claims processing. If you have questions, please contact your BCBSRI Provider Relations Representative or send an email to ProviderQuality@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. Claims may be filed either electronically or on paper for Blue Cross & Blue Shield of Rhode Island (BCBSRI) plan members and out-of-state Blue Cross & Blue Shield plan members. Please Contact Physician and Provider Service Center: (401) 274-4848 Blue Cross & Blue Shield of Rhode Island 500 Exchange Street Providence, RI 02903; Providers. ; Extra Help Plans Medicare + Medicaid and the new Access plans. By Mail. Practitioner Change Forms are located on bcbsri. All trademarks unless otherwise noted are the property of Blue Cross & Blue Shield of Rhode Island or the Blue Cross and Blue Shield Association. Practitioner Change Forms are locations at bcbsri. Check status of all claims submitted with your National Provider Identifier (NPI). All Practitioner Change Forms can be faxed to Nov 12, 2024 · for provider offices to contact BCBSRI when a provider is leaving your practice. m. Overview; Phone number: * Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association. Use My Health Toolkit ®. 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. Find an eye doctor. Are you a supplier or vendor? Local: (401) 459-1000. If you have Blue Cross Vision, use this option for routine eye exams, glasses, and contacts. You can contact us in a couple of ways: Check the back of your membership card for your specific customer service phone number . Items will be shipped to you at no cost. All Practitioner Change Forms can be faxed to Nov 1, 2024 · BCBSRI invites our participating providers to join us on Tuesday, November 12 from 10-11 am. Dec 1, 2024 · Medicare Advantage See all your options, compare plans, and enroll. Referral An order from your primary care provider (PCP) for you to receive care from another doctor, specialist, or medical facility. Apr 9, 2024 · for provider offices to contact BCBSRI when a provider is leaving your practice. (401) 459-5545. Connect with member customer service or find the right support resources, including your local Blue Cross and Blue Shield (BCBS) company, general FAQs and media relations contacts. You must provide 60 days notice to BCBSRI when a provider is no longer going to be practicing for your group. To find nearby doctors and hospitals, access the Find a Doctor or Hospital tool or call BlueCard Access at 1-800-810-BLUE. Providers. . Providers and doctors call these Blue Cross & Blue Shield Rhode Island phone numbers for eligibility and other questions. ; Medicare Supplement Help cover costs with a Plan 65 option. All Practitioner Change Forms can be faxed to Apr 1, 2024 · BCBSRI invites providers to join us on Tuesday, April 9 from 10-11 a. View the OTC catalog. com or if you need assistance with MHK, please contact our Provider Relations team at ProviderRelations@bcbsri. Português. Blue Cross & Blue Shield of Rhode Island 500 Exchange Street Providence, RI 02903-2699 A specific customer service center supports each member. For paper claims submissions, use the CMS-1500 form. Habla usted español? Online. Enrollment in Blue Cross & Blue Shield of Rhode Island depends on contract renewal. org prior to the meeting Phone. for a conference call with the Provider Relations team, who will provide important updates and reminders. Use the Find a Doctor tool if your vision exam is covered under your medical plan. Don’t see your provider on the BCBSRI portal? Please note that only your office administrator can add providers to your BCBSRI. A customer service representative will respond to your request within one business day. You can contact us online anytime day or night with Secure Messaging. Hints for HEDIS® (and More) Jun 1, 2022 · If you do not know who your administrator is, contact your Provider Relations representative. To obtain access to bcbsri. Call your Blue ® Plan for pre-certification or prior authorization, if necessary. Call the toll-free number on the back of your member ID card for BCBS customer service. Access provider publications including: Participating Provider Administrative Manual; BCBSRI Practice Guidelines; Orientation visits Nov 14, 2023 · for provider offices to contact BCBSRI when a provider is leaving your practice. Overview; Visit your nearest retail location or contact us Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross Contact; Español. Please send all correspondence to: Blue Cross & Blue Shield of Health care providers, find a Blue Cross NC phone number for info on eligibility, benefits and claims status, plus medical policies, contract updates and more. Already a BCBSRI Medicare Advantage member? Dental provider portal Visit your nearest retail location or contact us Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross You can also find our telephone numbers and hours of operation on the Contact Us page. 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. 0 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. Blue Cross & Blue Shield of Rhode Island is an independent licensee of Providers: Claims Filing Information for In-Network & Out-of-Network Providers. cvgb omww tsi eydtqqt wbprv hkdbyp xdy rfqu bfwgqdk lnod