Jan 1, 2023

Medical records cover sheet reminder

As a reminder when sending medical records to BCBSRI, a valid coversheet should be placed on top of the medical records 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

This policy came into effect on May 1, 2021. The medical records team has advised this is happening more often and are returning any medical records without any of the forms above by mail.

All of these cover sheets can be found at bcbsri.com > Providers > Forms.