• P = Professional
  • B = Behavioral health
  • F = Facilities

Reivindicações

P B F
16 Mar, 2022
**This update will not take place this weekend and it will be rescheduled to a future date. **   B...
P B F
7 Jan, 2022
BCBSRI will be implementing changes to bluegateway.bcbsri.com and the system was supposed to be unav...
P B F
1 Dez, 2021
BCBSRI will be implementing changes to bluegateway.bcbsri.com and the system will be unavailable fro...
P F
1 Nov, 2021
Blue Cross Blue Shield of Massachusetts (BCBSMA) is initiating a new utilization management program ...
P F
1 Jul, 2021
As a reminder, when filing a claim for an unlisted procedure code, please include the Unlisted Proce...
P B F
1 Jun, 2021
As a reminder, when filing a claim for an unlisted procedure code, please include the Unlisted Proce...
P B F
1 de maio, 2021
As a reminder, when filing a claim for an unlisted procedure code, please include the Unlisted Proce...
P B F
1 Abr, 2021
As a reminder when sending in Medical Records to BCBSRI, a valid coversheet should be placed on top ...
P B F
1 Mar, 2021
As a reminder when sending in Medical Records to BCBSRI, a valid coversheet should be placed on top ...
P B F
1 Jan, 2021
These enhancements include auto-approvals as well as a single location to submit both acute inpatien...
P B F
1 Jan, 2021
The following announcement is for all providers servicing members with the following Blue Cross Blue...
P F
1 Nov, 2020
BCBSRI has updated our system to reflect the new CMS Hospital Bill Type/Class (087) that becomes eff...
P B F
1 Jul, 2020
Effective for claims received on and after 5 de outubro, 2020,  electronically submitted secondary clai...
P F
1 Abr, 2020
If a member receives the same radiology procedure multiple times on the same day from different prov...
P F
1 Abr, 2020
During the COVID-19 pandemic, eviCore has increased their authorization span from 90 to 180 days. An...
P F
1 Mar, 2020
ICD-10-CM provides significant improvements through greater diagnosis coding detail and the ability ...
P
1 Mar, 2020
Please remember to include the NPI of the servicing facility on your CMS-1500 form Box 32A. This wil...
P
1 Mar, 2020
If you have a BCBSRI member with an NEHP or State of Rhode Island anchor plan, a cross-border notifi...
P F
1 Mar, 2020
If a member receives the same radiology procedure multiple times on the same day from different prov...
P B F
1 Fev, 2020
If… With a…. Going to see a…. Then…. Member has a RI NEHP plan RI PCP a RI specialist Obt...
P F
1 Fev, 2020
BCBSRI follows the Medicare National Correct Coding Initiative (NCCI) edits to ensure that all claim...
P B F
1 Jan, 2020
BCBSRI requires that all services rendered by the same provider on the same date of service to be fi...
P
1 Dez, 2019
As a reminder, ancillary claims are filed with the local plan as follows: Lab provider: The locatio...
P B F
1 Dez, 2019
Our Grievance and Appeals Unit (GAU) has updated the appeals request form and the claims adjustment ...
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