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Jun 1, 2025

Payment policy updates

Emergency Department Outpatient Facility Evaluation and Management Coding 

This policy was updated to reflect where appeals should be sent if the claim was denied by BCBSRI’s designee, Optum. For additional details related to this policy, please click here.

 

Non-Reimbursable Health Service Code Policy 2025 

The following codes have been added to the NSR policy effective July 1, 2025

0961T, 0962T, 0964T, 0965T, 0973T, 0974T, 0975T, 0976T, 0984T, 0985T, 0986T, 0987T.

For additional details related to this policy, please click here.

 

Provider Credentialing and Recredentialing Process

This policy was updated to add LCDP’s as individually credentialed as of February 1, 2025. 

For additional details related to this policy, please click here.