CommercialAdministrativeHigh impact
Providers who move out of state
Blue Cross Blue Shield of Rhode Island·RI·Physician / Behavioral Health
Effective date
Sep 1, 2023
We identified it
Jun 19, 2026
Summary
BCBSRI providers who move out of state must terminate their contracts and cannot file claims directly to BCBSRI, even with valid licenses in both states. This applies to both in-person and telemedicine services, with 90 days allowed for patient transfers if violations are discovered.
Action Required
Immediately: Billing team must identify any providers who have relocated out of Rhode Island. Stop submitting claims to BCBSRI for out-of-state providers and redirect claims to appropriate local payers based on provider location. Provider Relations must initiate contract termination process for relocated providers within 90 days to avoid automatic termination letters.