- 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 B F
Aug 1, 2026
Telemedicine modifier - Claims edit effective September 1, 2026 We have identified claims...
P F
Aug 1, 2026
Interferential Current StimulationEffective October 1, 2026, service will change from covered to not...
P
Aug 1, 2026
The following new policies were created. Effective dates vary so please review the full text of thes...
P B F
Aug 1, 2026
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P B F
Jul 1, 2026
Telemedicine Modifier - Claims Edit Effective 9/1/26We have identified claims being submitted with i...
P F
Jul 1, 2026
Prior authorization of spinal procedures Effective September 1, 2026, prior authorization throu...
P F
Jul 1, 2026
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P
Jul 1, 2026
The following new policy was created. Effective dates vary so please review the full text of t...
P B F
Jul 1, 2026
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
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...