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CommercialAdministrativeMedium impact

PCMH copays applying to claims incorrectly

Blue Cross Blue Shield of Rhode Island·RI·Physician
Effective date
Not stated
We identified it
Jun 19, 2026
Days to comply
—

Summary

BCBSRI has identified a system error causing PCMH (Patient-Centered Medical Home) copays to be incorrectly applied to claims. The insurer is working on a system fix and will automatically adjust all affected claims once the update is complete.

Action Required

Action needed
No immediate action required from billing team. BCBSRI will automatically pull and adjust all affected claims once their system is updated. Monitor claim statuses for PCMH patients and watch for automatic adjustments from BCBSRI.

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