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BLUE CROSS & BLUE SHIELD of Rhode Island's processes for approving coverage of services—known as utilization review—were found to be non-compliant with laws and regulations relating to coverage of mental health and substance use disorder benefits by the R.I. Office of the Health Insurance Commissioner in its first market conduct examination of the four health insurers in Rhode Island.

BCBSRI utilization review for mental health and substance-use disorder found deficient...

PROVIDENCE – Blue Cross & Blue Shield of Rhode Island’s processes for approving coverage of services – known as utilization review – were found...
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