- P = Professional
- B = Behavioral health
- F = Facilities
Claims
P B F
Feb 1, 2019
Effective April 1, 2019, BCBSRI will require the provider taxonomy code to be submitted on all claim...
P B F
Jan 1, 2019
Some providers expect to be reimbursed at the locally negotiated Blue rate or Medicaid rate they are...
P B F
Jan 1, 2019
BCBSRI is not a PPO network sharing plan. We are not allowed to price based on our participating pro...
P
Jan 1, 2019
Effective immediately, please indicate your referral number from Health Trio on your CMS-1500 form i...
P B F
Jan 1, 2019
Effective April 1, 2019, BCBSRI will require the provider taxonomy code to be submitted on all claim...
P F
Dec 1, 2018
BCBSRI follows the American Medical Association (AMA) Current Procedural Terminology (CPT) guideline...
P
Dec 1, 2018
BCBSRI follows CMS guidelines on assistant-at-surgery services that are reimbursable; however, BCBSR...
P B
Dec 1, 2018
As a reminder, when a BCBSRI participating provider renders services to a BCBSRI Blue plan member in...
P B
Dec 1, 2018
As a reminder, when a BCBSRI participating provider renders services to a BCBSRI member for telemedi...
P B F
Oct 1, 2018
A new policy has been created to document and clarify the existing process for determining reimburse...
F
Oct 1, 2018
Beginning October 1, 2018, BCBSRI will implement a new procedure for skilled nursing facilities (SNF...
P B F
Sep 1, 2018
A new policy has been created to document and clarify the existing process for determining reimburse...
P B F
Sep 1, 2018
BCBSRI wants all practices to have their administrative issues resolved accurately and timely. This ...
F
Sep 1, 2018
Beginning October 1, 2018, BCBSRI will implement a new procedure for skilled nursing facilities (SNF...
Policies
P F
Jun 10, 2025
We have completed our review of the July 2025 CPT code changes, including any category II performanc...
P F
Jun 9, 2025
We have completed our review of the July 2025 Healthcare Common Procedure Coding System (HCPCS) chan...
P F
Jun 4, 2025
This is a newly created payment policy which will go into effect on August 4, 2025. This new policy ...
P F
Jun 1, 2025
Emergency Department Outpatient Facility Evaluation and Management Coding This policy was updat...
P B F
Jun 1, 2025
Laboratory Testing Investigational ServicesEffective August 1, 2025, CPT codes 0371U, 0372U, 0373U, ...
P F
Jun 1, 2025
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P F
Jun 1, 2025
The following new policies were created. Effective dates vary so please review the full text of thes...
P B F
Jun 1, 2025
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
May 1, 2025
DRG Mapping PolicyWe updated the description within the policy and added the following statement. No...
P F
May 1, 2025
Biomarker Testing in Risk Assessment and Management of Cardiovascular Disease  ...