- P = Professional
- B = Behavioral health
- F = Facilities
Claims
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
Aug 1, 2025
Laboratory Tests Post Transplant and for Heart Failure Effective August 1, 2025: CP...
P F
Aug 1, 2025
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P F
Aug 1, 2025
The following new medical policy was created: Acute Hepatitis Panel – Effective October 1, 2025...
P B F
Aug 1, 2025
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
Aug 1, 2025
We have completed our review of the October 2025 CPT code changes, including any category II perform...
P F
Aug 1, 2025
We have completed our review of the October 2025 current procedural terminology (CPT) including any ...
P F
Jul 1, 2025
We have completed our review of the July 2025 CPT code changes, including any category II performanc...
P F
Jul 1, 2025
Immunizations Adult and Pediatric Policy Effective July 1, 2025, there are five new codes that ...
P B F
Jul 1, 2025
Behavioral Health Outpatient Professional ServicesEffective July 1, 2025, clarifications for provide...
P F
Jul 1, 2025
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P F
Jul 1, 2025
The following new policy was created. Effective dates vary so please review the full text of this po...
P B F
Jul 1, 2025
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
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...