CommercialReimbursementHigh impact
Update to standard fee schedules effective 12/1/24
Blue Cross Blue Shield of Rhode Island·RI·Physician / Facility
Effective date
Dec 1, 2024
We identified it
Jun 19, 2026
Summary
BCBSRI is updating their standard fee schedule for commercial and Medicare Advantage products effective December 1, 2024, based on the 2024 Rhode Island Medicare Fee Schedule. The update includes changes to Evaluation & Management (E&M) service rates for both primary care and specialist providers, with both upward and downward rate adjustments following Medicare changes.
Action Required
By November 30, 2024: Billing team must log into BCBSRI's secure provider portal to download and review the updated fee schedule Excel file available at bcbsri.com. System administrators should access 'fee schedules' in the left-hand navigation to identify specific rate changes for E&M codes and other services your practice frequently provides. Update billing system with new allowable amounts for BCBSRI commercial and Medicare Advantage claims. Non-administrators must register for portal access following the outlined steps.