- P = Professional
- B = Behavioral health
- F = Facilities
Claims
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
Mar 1, 2026
Preventive Services for Medicare Advantage Plans Annual Well Visits are now allowed up t...
P B F
Mar 1, 2026
Acute Hepatitis Panel Effective May 1, 2026, for CPT code 80074, the covered diagnosis list wil...
P F
Mar 1, 2026
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P F
Mar 1, 2026
The following new policy was created. Effective dates vary so please review the full text of this po...
P B F
Mar 1, 2026
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
Feb 18, 2026
We have completed our review of the April 2026 CPT code changes, including any category II performan...
P F
Feb 1, 2026
InterQual updates Effective February 1, 2026, updates will be made in the online authorization ...