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Blue Cross Blue Shield of Rhode IslandCommercial · Administrative · Physician · RIHigh impact

eviCore Portal Update - effective 7/13

Act
by Jul 13, 2026
Effective date
Jul 13, 2026
Identified
Jul 14, 2026

Summary

Effective July 13, 2026, eviCore will no longer accept authorization submissions through their portal for fully funded Commercial members. This supersedes the October 1, 2025 policy that removed authorization requirements for PCP-ordered services on fully funded Commercial plans. Billing teams must stop submitting authorizations to eviCore for these members and update internal workflows accordingly.

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What to do

by Jul 13, 2026 · 4 steps
01Billing team must stop submitting authorizations to the eviCore portal for all fully funded Commercial members.
02Update billing system rules and staff workflows to prevent authorization entry attempts for this population.
03Inform providers that authorizations for fully funded Commercial members (when ordered by PCP) are not permitted in the eviCore system as of this date.
04Train front-desk and authorization staff to identify fully funded Commercial members and route them appropriately.
If missed: Failure to comply may result in system rejection of submissions and processing delays.

Original notice

eviCore Portal Update - effective 7/13
bcbsri.com · Always check the source before changing claims.
View original ↗

Related changes

See all Blue Cross Blue Shield of Rhode Island changes →
eviCore portal changeHighEffective Jul 13, 2026 · Physician / FacilityeviCore portal changeMediumEffective Jul 13, 2026 · Physician / FacilityBrowse every Blue Cross Blue Shield of Rhode Island change in the policy list

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