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CommercialReimbursementHigh impact

Update to Standard Fee Schedule 11/1/2022

Blue Cross Blue Shield of Rhode Island·RI·Physician / Facility
Effective date
Nov 1, 2022
We identified it
Jun 19, 2026
Days to comply

Summary

BCBSRI updated their standard fee schedule effective November 1, 2022, based on the 2021 Rhode Island Medicare Fee Schedule. Evaluation & Management (E&M) services for both primary care and specialist providers will see net rate increases, while other codes have mixed upward and downward adjustments following Medicare changes.

Action Required

Action needed
By September 1, 2022: System administrators must log into the BCBSRI provider portal at bcbsri.com to access updated fee schedules under 'fee schedules' navigation. Review codes/services your office frequently provides to identify specific rate changes. Non-administrators must register for system administrator access using NPI, TAX ID, DOB and email. Update billing system with new reimbursement rates for E&M services and other affected codes before November 1, 2022 effective date.