CommercialAdministrativeHigh impact
October 2017
Blue Cross Blue Shield of Rhode Island·RI·Provider Update
We identified it
Jun 20, 2026
Summary
BCBSRI requires all contracted providers to refer patients exclusively to in-network providers and facilities across all specialties including specialists, hospitals, labs, radiology, and DME suppliers. Providers must verify network participation status before establishing referral relationships using the Find a Doctor tool.
Action Required
Immediately: All providers must verify network participation status of referral destinations using BCBSRI's Find a Doctor tool before establishing referral relationships. Update referral workflows to require in-network verification for all specialists, facilities, labs, radiology, and DME suppliers. Contact Provider Relations at ProviderRelations@bcbsri.org for policy details.