Blue Cross and Blue Shield of Rhode Island Provider Resources
Please download and read through the following material. Our goal is to make the change to EviCore by Evernorth as seamless and easy as possible and these documents will explain the process. There is contact information in the material if you have any questions.
Effective 1/1/2026, BCBSRI has expanded its partnership with EviCore by Evernorth to manage prior authorization services for Physical and Occupation therapy for BCBSRI's Medicare Advantage membership.”
Effective 11/1/2025, BCBSRI Spine Surgery program, managed by EviCore, has been expanded to include Commercial Fully Insured membership.
There are currently no General Resources.
Cardiovascular
Radiology
Musculoskeletal
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Registration Instructions
EviCore highly recommends providers take full advantage of the online capabilities at https://www.evicore.com/provider
Here you can request prior authorization, review our nationally accepted evidence-based guidelines, and receive announcements about program updates. Access requires only your email address and a brief registration.