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Below is a list of frequently asked questions (FAQs) about BlueCHiP.
Please click the question link to read the answer.

BlueCHiP FAQs - Claims and Billing
 
I would like to appeal a claim that was denied. What is the process?
My doctor doesn't participate with BCBSRI. How can I be reimbursed for what I paid directly?
 
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I would like to appeal a claim that was denied. What is the process?

An appeal is an oral or written request to consider full or partial reimbursement to the customer for services that are either not covered by the plan or for services in which the customer did not follow plan procedures. To file an appeal regarding a denied claim, please send a letter to:

Grievance & Appeals
15 La Salle Square
Providence, Rhode Island 02903

BlueCHiP members may also file an appeal by contacting BlueCHiP Customer Service.

Your letter will be reviewed by a grievance and appeals coordinator. You will receive a written response regarding the outcome of the appeal. If you have any questions regarding this process, you may contact Customer Service at the numbers listed below:

BlueCHiP Commercial members:
(401) 274-3500 or 1-800-564-0888
 

My doctor doesn't participate with BCBSRI. How can I be reimbursed for what I paid him directly?

To file a claim for services from a non-participating provider, make sure you:
  • Submit your claim within 180 days from the date of service.

  • Provide an itemized bill from the provider for the services rendered.

Without complete information, your claim processing will be delayed. If you have any further questions, please contact BlueCHiP Customer Service:

BlueCHiP Commercial members:
(401) 274-3500 or 1-800-564-0888




Call or E-mail our Customer Service Center.