As a reminder when sending medical records to BCBSRI, a valid cover sheet should be placed on top 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
   
  Effective 1 de maio, 2021 the Medical Records team will return any medical records received without any of the above referenced forms as a cover sheet.
   
  All of these cover sheets can be found on the provider portal under forms.