- P = Professional
- B = Behavioral health
- F = Facilities
Reclamos
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 feb, 2020
If… With a…. Going to see a…. Then…. Member has a RI NEHP plan RI PCP a RI specialist Obt...
P F
1 feb, 2020
BCBSRI follows the Medicare National Correct Coding Initiative (NCCI) edits to ensure that all claim...
P B F
1 ene, 2020
BCBSRI requires that all services rendered by the same provider on the same date of service to be fi...
P
1 dic, 2019
As a reminder, ancillary claims are filed with the local plan as follows: Lab provider: The locatio...
P B F
1 dic, 2019
Our Grievance and Appeals Unit (GAU) has updated the appeals request form and the claims adjustment ...
P B F
1 nov, 2019
Our Grievance and Appeals Unit (GAU) has been working hard to update the appeals request form and th...
P F
1 sep, 2019
As you know, CMS requires completion of a 2728 form for all newly diagnosed ESRD patients. The form ...
P F
1 sep, 2019
Please remember to include the NPI of the servicing facility on your CMS-1500 form Box 32A. This wil...
P
1 sep, 2019
As a reminder, in 20 de noviembre18, our system was updated to allow claims to pull a referral by the pr...
P B
1 jun, 2019
BCBSRI follows the Medicare National Correct Coding Initiative (NCCI) edits to ensure that all claim...
P F
1 de mayo de 2019
BCBSRI follows the Medicare National Correct Coding Initiative (NCCI) edits to ensure that all claim...
P B F
1 abr, 2019
Effective 1 de abril de 2019, BCBSRI will require the provider taxonomy code to be submitted on all claim...
P B F
1 mar, 2019
Effective 1 de abril de 2019, BCBSRI will require the provider taxonomy code to be submitted on all claim...
P B F
1 mar, 2019
BCBSRI requires providers to report the name and the Type 1 National Provider Identifier (NPI) of th...
P
1 mar, 2019
Effective immediately, please indicate your referral number from Health Trio on your CMS-1500 form i...
P B F
1 feb, 2019
Some providers expect to be reimbursed at the locally negotiated Blue rate or Medicaid rate they are...
P B F
1 feb, 2019
BCBSRI is not a PPO network sharing plan. We are not allowed to price based on our participating pro...
P
1 feb, 2019
Effective immediately, please indicate your referral number from Health Trio on your CMS-1500 form i...
P B F
1 feb, 2019
Effective 1 de abril de 2019, BCBSRI will require the provider taxonomy code to be submitted on all claim...
P B F
1 ene, 2019
Some providers expect to be reimbursed at the locally negotiated Blue rate or Medicaid rate they are...
P B F
1 ene, 2019
BCBSRI is not a PPO network sharing plan. We are not allowed to price based on our participating pro...
P
1 ene, 2019
Effective immediately, please indicate your referral number from Health Trio on your CMS-1500 form i...
P B F
1 ene, 2019
Effective 1 de abril de 2019, BCBSRI will require the provider taxonomy code to be submitted on all claim...