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SmartShopper is coming to BCBSRI

Blue Cross Blue Shield of Rhode Island·RI·Physician / Facility
Effective date
Jan 1, 2021
We identified it
Jun 19, 2026
Days to comply

Summary

BCBSRI is launching SmartShopper in January 2021, a member rewards program that incentivizes patients to choose lower-cost providers for routine procedures like ultrasounds, MRIs, mammograms, and colonoscopies. Members can earn up to $500 per procedure when selecting eligible lower-cost facilities, and Sapphire representatives may contact provider offices to facilitate referrals.

Action Required

Action needed
Immediately: Be prepared to receive calls from Sapphire Personal Assistant Team requesting referrals for patients participating in SmartShopper program. Staff should be trained to work with Sapphire representatives and provide feedback if uncomfortable with requested specialist or facility. Contact BCBSRI Provider team at (844) 707-5627 for questions about benefits verification, eligibility, and referral requirements related to SmartShopper.