CommercialPrior AuthHigh impact
New membership effective January 1, 2020
Blue Cross Blue Shield of Rhode Island·RI·Provider Update
Effective date
Jan 1, 2020
We identified it
Jun 20, 2026
Summary
BCBSRI added two new large employer groups effective January 1, 2020: The State of Rhode Island (RIS/R2I prefixes) and Lifespan (L7S prefix). Prior authorizations are required per plan benefits for both groups, and State of Rhode Island Anchor plans have referral requirements with copayment differentials.
Action Required
Immediately: Billing team must verify all prior authorizations for State of Rhode Island (RIS/R2I) and Lifespan (L7S) members before scheduling services by calling 401-274-4848 or 1-800-230-9050, as authorizations won't be visible in the provider portal. Front desk staff must obtain referrals for State of Rhode Island Anchor plan specialist visits to ensure lower copayments (automatic grace period applies for January 2020 only). Update billing system to flag these member prefixes for prior auth verification.