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Neighborhood Health Plan of Rhode Island

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Neighborhood Health Plan of Rhode Island
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        • Neighborhood has been helping Rhode Island families stay healthy for almost 30 years by providing access to excellent health care.

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        • Welcome to Neighborhood’s Commercial Member plan section. If you purchased a health plan through HealthSource RI or have a plan through your small employer, find information about your benefits here.

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        • Welcome! We are happy to offer a health and drug plan for Rhode Islanders eligible for both Medicare and Medicaid — Neighborhood INTEGRITY (Medicare-Medicaid Plan).

Summer 2020

Improving the Provider’s Business Experience with Neighborhood

  • Requests for Duplicate Remittance Advice (RA) Statements
  • Administrative and Claims Processing System Upgrade

New Oncology Program – New Century Health  

Well Visits During COVID-19 – Telehealth Options 

Follow-Up Care for Children Prescribed ADHD Medications

Continuity and Coordination of Care and Communication with the Primary Care Practitioner 

COVID-19 Impact on Childhood Immunizations and Well Visits: Recommendations

Risk Management: Identity Theft Awareness

Claims Corner

    • Current Forms
    • Adjustment Request Form
    • Claim Submission Reminders for Providers and Billers

Pharmacy Department Update

  • Medicaid Formulary Benefit Changes
  • How to Bill 340B Appropriately
  • Electronic Prior Authorization (ePA) for the Pharmacy Benefit

Exceptional Healthcare – Managing Patient Care during a Crisis

 

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We comply with applicable civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, or sex. We also provide language assistance. Read our notice here.

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