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Jun 1, 2021

Medical records cover sheet reminder

As a reminder when sending medical records to BCBSRI, a valid cover sheet should be placed on top and all necessary information should be filled out.

The following forms are considered a cover sheet:

  • Claim Adjustment form
  • Appeal form
  • Medical Records form
  • DME Unlisted Code form
  • Unlisted Procedure Claim form – Professional
  • Unlisted Procedure Claim form – Facility
  • Response letter to request for Medical Record
     
    Effective May 1, 2021 the Medical Records team will return any medical records received without any of the above referenced forms as a cover sheet.
     
    All of these cover sheets can be found on the provider portal under forms.