- P = Professional
- B = Behavioral health
- F = Facilities
Claims
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 17, 2026
We have completed our review of the July 2026 Healthcare Common Procedure Coding System (HCPCS) chan...
F
Jun 3, 2026
Effective August 15, 2026, this policy is to ensure appropriate billing and reimbursement ...
P F
Jun 1, 2026
Effective July 1, 2026, the below CPT Codes have been added to the following payment policies:Immuni...
P F
Jun 1, 2026
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P B F
Jun 1, 2026
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
Jun 1, 2026
New Technology and Miscellaneous ServicesEffective August 1, 2026, CPT code 0858T will change from r...
P
May 18, 2026
Effective 4/1/2026, New HCPCS Code C8010 will be covered for Medicare Advantage Plans. No change to ...
P F
May 13, 2026
We have completed our review of the July 2026 current procedural terminology (CPT) including any cat...
P F
May 1, 2026
Non-Reimbursable Health Service Codes Policy 2026 Effective April 1, 2026 the below codes were ...
P F
May 1, 2026
Allergy TestingEffective July 1, 2026, CPT codes 86003 and 86008 will continue to be covered when fi...
P F
May 1, 2026
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P F
May 1, 2026
The following new policies were created. Effective dates vary so please review the full text of thes...
P B F
May 1, 2026
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
Apr 1, 2026
BCBSRI is adding two intraocular lens (IOL) surgery CPT codes: 66989 and 66991 for Medicare Advantag...
P F
Apr 1, 2026
Effective May 1, 2026 the following codes will be added to the above referenced policy for professio...
P F
Apr 1, 2026
We have completed our review of the April 2026 Healthcare Common Procedure Coding System (HCPCS) cha...
P F
Apr 1, 2026
Oral Nutrition Mandate Effective June 1, 2026, the medical criteria for milk/soy protein ...
P F
Apr 1, 2026
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P F
Apr 1, 2026
The following new policies were created. Effective dates vary so please review the full text of thes...
P B F
Apr 1, 2026
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
Mar 1, 2026
Preventive Services for Medicare Advantage Plans Annual Well Visits are now allowed up t...