- P = Professional
- B = Behavioral health
- F = Facilities
Policies
P F
1 Ago, 2019
Effective 1 de outubro, 2019, the medical criteria for prior authorization is being updated for the Art...
P F
1 Ago, 2019
Effective 1 de outubro, 2019, the Prolaris™ assay (CPT code 81541) found in the medical policy Gene Exp...
P F
1 Ago, 2019
Reminder, to ensure that claims submitted for routine foot care and nail debridement are processed c...
P F
1 Ago, 2019
Ambulance Air and Water Transport BCBSRI Performance Data for Health Care Operations Buprenorphine...
P F
1 Ago, 2019
The following new policies were created. Effective dates vary so please review the full text of thes...
P B F
1 Ago, 2019
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
1 Jul, 2019
Effective 1 de setembro, 2019, CPT 97610, low frequency, non-contact, non-thermal ultrasound, includin...
P F
1 Jul, 2019
Effective 1 de setembro, 2019, transcutaneous electrical joint stimulation will be not covered for Blu...
P F
1 Jul, 2019
Effective 1 de julho, 2019, there are coverage updates within the Proprietary Laboratory Analyses policy...
P
1 Jul, 2019
As a reminder, claims for EKGs (CPT code 93000) that are filed in conjunction with a member’s annual...
P F
1 Jul, 2019
Artificial Intervertebral Disc Insertion Lumbar Spine Benlysta (belimumab) Bone Mineral Density St...
P F
1 Jul, 2019
The following new policies were created. Effective dates vary so please review the full text of thes...
P B F
1 Jul, 2019
BCBSRI must follow the Centers for Medicare & Medicaid Services (CMS) guidelines for national co...
P F
1 Jun, 2019
The Coding and Payment Guideline policy has been updated to reflect that while BCBSRI has adopted CM...
P F
1 Jun, 2019
Effective 1 de agosto, 2019, there are coding updates within the Fecal Calprotectin Testing policy to a...
P F
1 Jun, 2019
Effective 1 de agosto, 2019, for Commercial members only, CPT codes 86003 and 86008, for Allergy Testin...
P F
1 Jun, 2019
Effective 8/1/19 the Hospital Based Clinic policy has been updated to reflect that BCBSRI requires a...
P F
1 Jun, 2019
The following policies were recently reviewed for annual update. The full text of these policies is ...
P F
1 Jun, 2019
The following new policies have been created. Effective dates vary so please review the full text of...
P B F
1 Jun, 2019
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
1 de maio, 2019
We have completed our review of the additional CPT and HCPCS code changes for 20 de janeiro19. These up...
P B F
1 de maio, 2019
Behavioral Health Integration Services policy PBF This policy documents payment guidelines for Coll...
P F
1 de maio, 2019
The following policies were recently reviewed for annual update. The full text of these policies is ...
P F
1 de maio, 2019
The following new policy was created. Effective dates vary so please review the full text of these p...