CommercialAdministrativeMedium impact
Reminder: Reimbursing members after claim adjustments
Blue Cross Blue Shield of Rhode Island·RI·Provider Update
We identified it
Jun 19, 2026
Summary
BCBSRI reminds providers that if they collect patient payments (copays, deductibles, coinsurance) at time of service but later receive direct reimbursement from BCBSRI for the same amounts, they must refund the patient within 45 days of receiving the remittance advice.
Action Required
Immediately: Billing team must establish process to identify claims where patient payments were collected at service but BCBSRI later paid directly. Monitor remittance advices for overpayments and refund patients within 45 days of RA receipt. Track refund dates to ensure compliance.