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CommercialAdministrativeMedium impact

BCBSRI MHK provider portal tips, reminders, and upgrades

Blue Cross Blue Shield of Rhode Island·RI·Provider Update
Effective date
Aug 1, 2023
We identified it
Jun 19, 2026
Days to comply

Summary

BCBSRI updated their MHK provider portal with new tips for prior authorization processes and announced upcoming system upgrades by August 2023. The changes include prioritizing participating providers in searches, recommendations for managing InterQual reviews, and enhanced portal features for viewing authorizations with member ID and DOB information.

Action Required

Action needed
By August 2023: Staff using BCBSRI MHK portal should ensure participating providers always select 'Par' addresses when searching. When performing multiple InterQual reviews, log out and refresh browser sessions intermittently to maintain optimal performance. Update workflows to utilize new Member ID and DOB display features on View Authorizations screen once upgrade is complete.