Bcbsri provider benefits phone number Out of Network Request 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. org. After the out-of-pocket is met, in-network covered services are paid at 100% by Blue Cross & Blue Shield of Rhode Island. ) It shows how much your provider will charge you when they send you an actual bill—and how much you saved by using the BCBSRI network. Dental Direct Basic; Dental Direct Standard; Dental Direct Plus; Dental Direct Elite The maximum amount you would pay out-of-pocket for covered healthcare services each year, including deductible, copays, and coinsurance. com or by calling the Provider Service Center at 401-274-4848 or 1-800-230-9050. That’s why Blue Cross & Blue Shield of Rhode Island (BCBSRI) now offers transportation benefits provided by Kaizen Health. Hours: Monday through Friday, 8:00 a. Your doctor and other providers use this number when filing claims for services they provided to you. For benefit year 2024, the OOP maximums are changing for the FEP Blue Focus product option. (Open seven days a week, 8:00 a. Flexible Benefit Card, Blue Cross & Blue Shield of Rhode Island PO Box 1057 Providence, RI 02901. Oct 1, 2024 · Agenda 2025 Medicare Changes 2025 Medicare Pharmacy Changes Medicare Prescription Payment Plan 2025 D-SNP Trainings Your local Medicare Consultants Sign in to your Blue Cross Blue Shield of Rhode Island account. You can contact us online anytime day or night with Secure Messaging. 1 of 9 VantageBlue Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: See below Plan Type: PPO Questions: Call 1-800-639-2227 or (401) 459-5000 or TDD 1-888-252-5051 or visit us at www. Practitioner Change Forms are located on bcbsri. Don't have your card? Use the tool below to find your local BCBS company's website. Contact ProviderRelations@bcbsri. All Practitioner Change Forms can be faxed to Medicare Advantage See all your options, compare plans, and enroll. com or by calling the Provider Service Center at 401-274-4848 or 1-800-230-9050 prior to requesting any services . Y0146_web_2022 Do you or anyone else covered by your Blue Cross health plan have another health plan? If so, we can help you make the most of your benefits—and possibly save you money! Simply complete this form and mail to: Attn: OCL Department (A) - 00119 Blue Cross & Blue Shield of Rhode Island 500 Exchange Street Providence, RI 02903-2699 Richer benefits attract top talent. All Practitioner Change Forms can be faxed to Oct 1, 2021 · Enrollment in Blue Cross & Blue Shield of Rhode Island depends on contract renewal. to 4:30 p. When in doubt, please submit the claim to us electronically or send the paper claim to us at: Blue Cross & Blue Shield of Rhode Island 500 Exchange Street Medicare Advantage See all your options, compare plans, and enroll. Refer to the phone number on the back of your card. Due to this change, a new ID card will be required. MPDP ID number is the FEP Member ID; FEP will begin mailing a replacement ID card to members enrolled in the FEP Blue Focus product option in November 2023. See what BlueCare Connect can do for you. 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. Enrollment in Blue Cross & Blue Shield of Rhode Island depends on contract renewal. d. 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. and provide your BCBSRI Member ID number. b. , October 1 - March 31. View the OTC catalog. (Some insurance companies call it an Explanation of Benefits. You will find a broad range of topics in this document, such as key contacts and an overview of the dental provider services BCBSRI. BCBSRI’s BH staff will be in touch with you within 3 business days to provide your authorization number needed for claims processing. BCBSRI. Important tips and guidelines Nov 1, 2023 · New card will have new Rx phone number; MPDP ID number is the FEP Member ID; FEP will begin mailing a replacement ID card to members enrolled in the FEP Blue Focus product option in November 2023. hard to get to the doctor. org for scheduling. May 14, 2024 · for provider offices to contact BCBSRI when a provider is leaving your practice. Dec 10, 2024 · Enrollment in Blue Cross & Blue Shield of Rhode Island depends on contract renewal. A customer service representative will respond to your request within one business day. ; Medicare Supplement Help cover costs with a Plan 65 option. When you can’t see your doctor in-person, Doctors Online is a great option. Use My Health Toolkit ®. A Group Medicare Advantage plan from BCBSRI can give you an edge in both the recruitment—and retention—of top talent. All Practitioner Change Forms can be faxed to PROVIDER ADMINISTRATIVE MANUAL CHAPTER 2– Key Contact List for Physicians/Providers BlueLine (401) 272-1590 or 1-800-327-6712 . Our Medicare Advantage members can get rides to and from doctor visits and select locations in the community, at no extra charge. c. ) You can use our automated answering system outside of these hours. Sometimes you want to talk face-to-face. Call your Blue ® Plan for pre-certification or prior authorization, if necessary. Habla usted español? Online. Refer to your Benefit Summary. The benefits are excluded from the BlueCard program (e. Providers: Claims Filing Information for In-Network & Out-of-Network Providers. Y0146_web_2022 Blue Cross & Blue Shield of Rhode Island is an HMO plan with a Medicare contract. 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 Please contact Blue Cross & Blue Shield of Rhode Island (BCBSRI) or access their suite of helpful resources if you have questions regarding your medical coverage or your health savings account (HSA): Call the State of Rhode Island Employee CARE Center: (401) 429-2104 or 1-866-987-3705 You can also find our telephone numbers and hours of operation on the Contact Us page. g. Routine membership, eligibility, benefit information, and claims status for all BCBSRI In the BCBSRI MHK Provider Portal, providers will now have the ability to add a six-digit extension to their contact phone number. Call Monday through Friday 8:00 a. Like $3,000 for dental care $300 for eyeglasses … an over-the-counter benefit … free grocery delivery. MD PCP PHONE: 401 Oct 15, 2024 · 1 The out-of-pocket maximum includes only Medicare-covered services. 0 Medicare Advantage See all your options, compare plans, and enroll. Oct 1, 2021 · See how BlueRI for Duals (HMO D-SNP) gives you so many extra benefits —at no extra cost to you. Welcome to Blue Cross & Blue Shield of Rhode Island’s Blue Cross Dental . Services requiring claims submission A claim must be submitted for all services not included in a capitation compensation arrangement. Phone number: * How can we help you? Blue Cross & Blue Shield of Rhode Island is an HMO plan with a Medicare contract. Provider Relations (401) 274-4848 or 1-800-230-9050 Fax: (401) 459-5531 Physician/provider education, responsibilities, and policies and procedures Do you have a Medicare plan? Call (401) 277-2958 or 1-800-267-0439 (TTY: 711) Hours: Monday through Friday, 8:00 a. com > Providers > Forms. Call the toll-free number on the back of your member ID card for BCBS customer service. com Nov 12, 2024 · for provider offices to contact BCBSRI when a provider is leaving your practice. If you are deaf, hard of hearing, or have a speech disability, dial 711 for TTY relay services. Phone. Medicare approved Blue Cross & Blue Shield of Rhode Island to provide these benefits and lower copayments as part of the Value-Based Insurance Design program. Items will be shipped to you at no cost. . Medicare Advantage See all your options, compare plans, and enroll. Please send all correspondence to: Blue Cross & Blue Shield of Dec 1, 2023 · New card will have new Rx phone number. You can contact us in a couple of ways: Check the back of your membership card for your specific customer service phone number . Contact the BCBSRI Anti-Fraud Hotline at 1-800-830-1444 1 You must qualify for Extra Help. All Practitioner Change Forms can be faxed to General Statement: Providers should verify benefits and eligibility via BCBSRI. If you gave information to someone you believe was a scam caller, please call the Blue Cross & Blue Shield of Rhode Island Anti-Fraud Hotline at 1-800-830-1444 or email SIU@bcbsri. Call BCBSRI Customer Service at 1-800-639-2227 for help. Please contact our Customer Service number at 1-800-267-0439 (TTY/TDD users should call 711). 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 12, 2023 · for provider offices to contact BCBSRI when a provider is leaving your practice. To find nearby doctors and hospitals, access the Find a Doctor or Hospital tool or call BlueCard Access at 1-800-810-BLUE. Once completed please, f ax the completed form Find a provider. m 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. Phone hours: Monday through Friday, 8:00 a. ; Saturday, 8:00 a. Contact Customer Service at the number listed on your ID card. Oct 12, 2021 · Providers are instructed to contact inactiveproviders@bcbsri. Providers who are terminated 90 days after being notified of termination due to inactivity, but Jun 11, 2024 · for provider offices to contact BCBSRI when a provider is leaving your practice. Jan 1, 2019 · Medicare Advantage See all your options, compare plans, and enroll. Once completed please, fax the completed Nov 14, 2023 · for provider offices to contact BCBSRI when a provider is leaving your practice. You must receive all routine care from plan providers unless you select the BlueCHiP for Medicare Value (HMO-POS), BlueCHiP for Medicare Enhanced (HMO-POS), BlueCHiP for Medicare Extra (HMO-POS), BlueCHiP for Medicare Preferred (HMO-POS), or the 3 days ago · Enrollment in Blue Cross & Blue Shield of Rhode Island depends on contract renewal. A specific customer service center supports each member. You also can view a quick summary of benefits below: 2025. This is the most a member would pay for these services during a calendar year. By Mail. to 8:00 p. The member belongs to the Federal Employee Program (FEP). Underwritten by Blue Cross & Blue Shield of Rhode Island Providers verify' eligibility' & benefits Phone Number will vary by plan PROVIDER. Call 1-866-304-2138 to order products over the phone. Blue Cross & Blue Shield of Rhode Island is an HMO and PPO plan with a Medicare contract. An independent licensee of the Blue Cross and Blue Shield Association. to noon. You must provide 60 days notice to BCBSRI when a provider is no longer going to be practicing for your group. Already a BCBSRI Medicare Advantage member? 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 Flexible Benefit Card, Phone number: * Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association. Teams based group instruction beginning in Q4 through Q1 of the active D-SNP year. 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. Call Monday through Friday 8: Dec 1, 2024 · Medicare Advantage See all your options, compare plans, and enroll. 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 All trademarks unless otherwise noted are the property of Blue Cross & Blue Shield of Rhode Island or the Blue Cross and Blue Shield Association. This information is available for free in other languages. Out-of-state: 1-800-676-2583 Patient benefit and eligibility information, referral questions, and claims inquiries specific to FEP members. , dental and prescription medications). Please utilize the following form for the following requests. Practitioner Change Forms are locations at 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. Attestation is required and confirms training is complete: Provider D-SNP Training Attestation | Blue Cross & Blue Shield of Rhode Island (bcbsri When you visit a doctor, lab, or hospital and you have to pay part of the cost, we will send you a Healthcare Services Summary (HSS) in the mail. please refer to the Subscriber Agreement or contact the number on your member ID card Medicare Advantage See all your options, compare plans, and enroll. Y0146_web_2022 Regularly check your claims history by logging in to your BCBSRI account. org if they receive a termination notice for inactivity but wish to remain a BCBSRI participating provider. There is not enough time for mail, so please complete an application online or call us at (401) 351-2583 (TTY: 711). Oct 1, 2021 · Blue Cross & Blue Shield of Rhode Island is an HMO and PPO plan with a Medicare contract. To obtain access to bcbsri. Please follow your FEP guidelines. Dec 1, 2024 · Medicare Advantage See all your options, compare plans, and enroll. Providers and doctors call these Blue Cross & Blue Shield Rhode Island phone numbers for eligibility and other questions. We created this manual for dentists and their office managers in the Blue Cross & Blue Shield of Rhode Island (BCBSRI) dental network. ; Extra Help Plans Medicare + Medicaid and the new Access plans. This is the customer service number for questions about your health insurance coverage, benefits or treatment. Personalized group training, via Teams or in-person. All Practitioner Change Forms can be faxed to Oct 1, 2021 · You can still submit your Medicare application, however, the application must be received by Saturday, December 7. We do this to ensure personalized service for every member. m. How does it work? Included with your BCBSRI plan, you get 24 one- 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. com or if you need assistance with MHK, please contact our Provider Relations team at ProviderRelations@bcbsri. For paper claims submissions, use the CMS-1500 form. London Health works collaboratively with BCBSRI to combine the benefits of CDHPs with wellness to lower costs and increase employee engagement. For other language assistance or translation services, please call the customer service number for your local Blue Cross and Blue Shield company. Please contact BCBSRI if you see anything suspicious. spkb wqinh yadkmzx stx ltfl fppl fvzsm xlvmt gkcvon vxq