- P = Professional
- B = Behavioral health
- F = Facilities
Claims
F
Sep 1, 2018
Beginning October 1, 2018, BCBSRI will implement a new procedure for skilled nursing facilities (SNF...
Policies
P F
Dec 10, 2025
We have completed our review of the January 2026 CPT code changes, including any category II perform...
P F
Dec 1, 2025
Timely Filing This policy was updated to reflect a few changes:A reminder to providers about co...
P F
Dec 1, 2025
Biomarker Testing in Risk Assessment and Management of Cardiovascular Disease  ...
P F
Dec 1, 2025
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P B F
Dec 1, 2025
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
Nov 1, 2025
COVID-19 Monoclonal Antibody Treatment and Antiviral IV MedicationsThis policy was updated to correc...
P F
Nov 1, 2025
*NEW POLICY* Prior Authorization of Physical and Occupation Therapy ServicesEffective January 1, 202...
P F
Nov 1, 2025
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P F
Nov 1, 2025
The following new policies were created. Effective dates vary so please review the full text of thes...
P B F
Nov 1, 2025
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
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...
P
Sep 1, 2025
We have updated the verbiage in this policy to read: BCBSRI requires claims for lactation consultati...
P F
Sep 1, 2025
Effective 11/1/2025, this policy will be updated to include Fully-Funded Commercial Products....
P F
Sep 1, 2025
Prior authorization via web-based tool for proceduresEffective October 1, 2025, the following CPT/HC...
P F
Sep 1, 2025
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P B F
Sep 1, 2025
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
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...