To resolve your inquiries as quickly and efficiently as possible, we encourage providers to be prepared when they call our Physician & Provider Service Center with questions about denials on remittance advices for all host claims (Blue Card claims). If your office calls us to disagree with a denial, we ask that you are prepared with backup for your inquiry. The following questions may be asked in order to resolve your call most efficiently:

• Why do you feel this claim was denied incorrectly?
• Did you check the member’s benefits or eligibility?
• If this is regarding a Blue Card member, did you speak to the home plan? If so, do you have a reference number, the name of whom you spoke with, and the details they provided?
   
  Please include this additional information when submitting inquiries on bcbsri.com. You can contact our Physician & Provider Service Center at (401) 274-4848 or 1-800-230-9050 for out-of-state providers.