- P = Professional
- B = Behavioral health
- F = Facilities
Claims
P
Mar 1, 2019
Effective immediately, please indicate your referral number from Health Trio on your CMS-1500 form i...
P B F
Feb 1, 2019
Some providers expect to be reimbursed at the locally negotiated Blue rate or Medicaid rate they are...
P B F
Feb 1, 2019
BCBSRI is not a PPO network sharing plan. We are not allowed to price based on our participating pro...
P
Feb 1, 2019
Effective immediately, please indicate your referral number from Health Trio on your CMS-1500 form i...
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
Oct 1, 2025
We have completed our review of the October 2025 Healthcare Common Procedure Coding System (HCPCS) c...
P B F
Oct 1, 2025
Preventative Services for Commercial Members policyThis policy was updated to meet HRSA guidelines e...
P F
Oct 1, 2025
Cranial Orthoses (Adjustable) for Positional Plagiocephaly and Craniosynostoses &nb...
P F
Oct 1, 2025
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P F
Oct 1, 2025
The following new policies were created. Effective dates vary so please review the full text of thes...
P B F
Oct 1, 2025
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...