Our Grievance and Appeals Unit (GAU) has updated the appeals request form and the claims adjustment form. The new forms can be found on bcbsri.com under Provider Forms. You can also click the links below to get the forms. Please ensure your office is utilizing these new forms effective immediately.

Appeals Request Form

Claim Adjustment Form

As a reminder, claim adjustments are not to be sent to GAU, and should be mailed to the claims department to the address on the bottom of the claims adjustment request form.