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CommercialAdministrativeMedium impact

Referrals being entered by PCP’s in HealthTrio

Blue Cross Blue Shield of Rhode Island·RI · Family Medicine, Internal Medicine, General Practice +1 more·Physician
Effective date
Oct 1, 2025
We identified it
Jun 19, 2026
Days to comply

Summary

BCBSRI has identified an increase in PCP referrals being entered into HealthTrio under incorrect provider groups when providers work for multiple organizations. PCPs and their staff must now carefully review the complete list of provider groups and locations to ensure referrals are placed under the correct group's TAX-ID.

Action Required

Action needed
Immediately: Front desk staff and PCPs must review the complete list of provider groups and locations when entering referrals in HealthTrio to ensure selection of the correct group. Verify that referrals for providers working at multiple locations (like Rhode Island Hospital and Brown Neurology) are entered under the appropriate group's TAX-ID. Incorrect group selection may cause referral processing delays.