- P = Professional
- B = Behavioral health
- F = Facilities
Claims
P B F
Apr 1, 2024
BCBSRI is not a PPO network sharing plan. We are not allowed to price based on our participating pro...
P B F
Jan 1, 2024
BCBSRI claims department has seen an increase in claims rejecting for no eligibility because claims ...
P B F
Nov 1, 2023
If you are correcting a claim due to an audit finding, you must submit Medical Records with your cor...
P B
Nov 1, 2023
If a group submits a claim with the incorrect rendering provider, and needs to correct it, they will...
P B
Apr 1, 2023
As a reminder, when filling out a CMS-1500 form and submitting it to BCBSRI for claims processing, i...
P B F
Jan 1, 2023
As a reminder when sending medical records to BCBSRI, a valid coversheet should be placed on top of ...
P B F
Mar 16, 2022
**This update will not take place this weekend and it will be rescheduled to a future date. **
...
P B F
Jan 7, 2022
BCBSRI will be implementing changes to bluegateway.bcbsri.com and the system was supposed to be unav...
P B F
Dec 1, 2021
BCBSRI will be implementing changes to bluegateway.bcbsri.com and the system will be unavailable fro...
P F
Nov 1, 2021
Blue Cross Blue Shield of Massachusetts (BCBSMA) is initiating a new utilization management program ...
P F
Jul 1, 2021
As a reminder, when filing a claim for an unlisted procedure code, please include the Unlisted Proce...
P B F
Jun 1, 2021
As a reminder, when filing a claim for an unlisted procedure code, please include the Unlisted Proce...
P B F
May 1, 2021
As a reminder, when filing a claim for an unlisted procedure code, please include the Unlisted Proce...
P B F
Apr 1, 2021
As a reminder when sending in Medical Records to BCBSRI, a valid coversheet should be placed on top ...
P B F
Mar 1, 2021
As a reminder when sending in Medical Records to BCBSRI, a valid coversheet should be placed on top ...
P B F
Jan 1, 2021
These enhancements include auto-approvals as well as a single location to submit both acute inpatien...
P B F
Jan 1, 2021
The following announcement is for all providers servicing members with the following Blue Cross Blue...
P F
Nov 1, 2020
BCBSRI has updated our system to reflect the new CMS Hospital Bill Type/Class (087) that become...
P B F
Jul 1, 2020
Effective for claims received on and after October 5, 2020, electronically submitted secondary...
P F
Apr 1, 2020
If a member receives the same radiology procedure multiple times on the same day from different prov...
P F
Apr 1, 2020
During the COVID-19 pandemic, eviCore has increased their authorization span from 90 to 180 days. An...
P F
Mar 1, 2020
ICD-10-CM provides significant improvements through greater diagnosis coding detail and the ability ...
P
Mar 1, 2020
Please remember to include the NPI of the servicing facility on your CMS-1500 form Box 32A. This wil...
P
Mar 1, 2020
If you have a BCBSRI member with an NEHP or State of Rhode Island anchor plan, a cross-border notifi...