Beginning June 1, 2025, our Provider Call Center will implement a  transaction limit of five claims. This includes:

• All provider type: The process will be implemented across all types of providers, including in-state and out-of-state.
• All claim types: The process will apply to all types of claims, regardless of complexity or value. 
• The five-transaction limit applies to each member, regardless of the number of providers associated with that member (and vice-versa), and includes calls for:
• Paid/denied claims
• Claims not on file
• Rejected/closed claims     
• Out-of-area claims
• Claim status/adjustment 

Providers are now able to view claim status, send claim adjustments, and correct claims on the BCBSRI.com provider portal. 

Once your initial five claims have been processed, you will be transferred back to the queue and your remaining claim inquiries will be assisted by another representative who is also trained to handle complex or multiple claim situations.