Providers

Claims Denied Due to System Error – June 21, 2024 – Neighborhood is aware that some rehabilitative services claims submitted between June 15 and June 18 were incorrectly denied due to a system error. We have corrected the issue and these claims will be reprocessed. Providers can expect to receive payments within the next 1-2 payment cycles. Please note that no further action is required on your part and there is no need to resubmit these claims. We appreciate your understanding and apologize for any inconvenience.

Provider Training Requirement – Neighborhood Health Plan of Rhode Island network providers are required to complete an annual training. The provider training offers an overview of Neighborhood’s plans, policies and procedures for providers. Click here to complete your provider training.

Provider Screening Reminder – Neighborhood has notified all of our contracted providers to comply with the Cures Act requirement to be screened by and enrolled with RI Medicaid. If you did not complete the screening application, this may result in claims denials and/or removal from the Neighborhood network. If you have been moved to non-participating status, please click here for more information on becoming a participating provider.