• P = Professional
  • B = Behavioral health
  • F = Facilities

Policies

P F
May 1, 2020
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P B F
May 1, 2020
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
Apr 1, 2020
We have completed our review of the additional CPT and HCPCS code changes effective April 1, 2020, a...
P F
Apr 1, 2020
Effective June 1, 2020, prior authorization will be required for BlueCHiP for Medicare and recommend...
P F
Apr 1, 2020
Effective April 1, 2020, the Transcatheter Mitral Valve Repair medical policy has been updated to in...
P F
Apr 1, 2020
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P F
Apr 1, 2020
The following new policies have been created and all are effective June 1, 2020. Please review the f...
P B F
Apr 1, 2020
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P B F
Mar 1, 2020
Effective March 1, 2020, BCBSRI has updated its policy for the Timely Filing of Observation Room cla...
P F
Mar 1, 2020
Effective March 1, 2020, coverage has been added for a new United States Preventive Task Force “B” g...
P F
Mar 1, 2020
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P B F
Mar 1, 2020
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
Feb 1, 2020
Effective February 1, 2020, prior authorization is now required for BlueCHiP for Medicare and recomm...
P F
Feb 1, 2020
Effective February 1, 2020, the Surgical Treatment of Snoring and Obstructive Sleep Apnea Syndrome p...
P F
Feb 1, 2020
Effective April 1, 2020, the Allergy Testing medical policy has been updated to include maximum annu...
P F
Feb 1, 2020
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P F
Feb 1, 2020
The following new policy has been created. Effective dates vary so please review the full text of th...
P B F
Feb 1, 2020
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
Jan 2, 2020
We have completed our review of the additional CPT and HCPCS code changes for January 2020. These up...
P F
Jan 1, 2020
Effective February 1, 2020, CPT code 62380 for Endoscopic decompression of spinal cord, nerve root(s...
P F
Jan 1, 2020
BCBSRI claims filed with bilateral services using modifier 50 should be filed on one line. Bilateral...
P F
Jan 1, 2020
BCBSRI follows CMS payment policies with respect to bilateral services. In limited cases, CMS and CP...
P F
Jan 1, 2020
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P F
Jan 1, 2020
The following new policies have been created. Effective dates vary so please review the full text of...
BCBSRI Logo - Feedback Survey

Tell us what you really think

It only takes a moment and your feedback can help us provide better service to you in the future.

Feedback