• P = Professional
  • B = Behavioral health
  • F = Facilities

Reclamos

P B
1 dic, 2018
As a reminder, when a BCBSRI participating provider renders services to a BCBSRI member for telemedi...
P B F
1 oct, 2018
A new policy has been created to document and clarify the existing process for determining reimburse...
F
1 oct, 2018
Beginning 1 de octubre de 2018, BCBSRI will implement a new procedure for skilled nursing facilities (SNF...
P B F
1 sep, 2018
A new policy has been created to document and clarify the existing process for determining reimburse...
P B F
1 sep, 2018
BCBSRI wants all practices to have their administrative issues resolved accurately and timely. This ...
F
1 sep, 2018
Beginning 1 de octubre de 2018, BCBSRI will implement a new procedure for skilled nursing facilities (SNF...

Policies

P F
1 de mayo de 2024
G2211 will be considered NSR effective 1 de julio de 2024Effective 1 de julio de 2024, CPT G2211 code will be NS...
P F
1 de mayo de 2024
Prior Authorization via Web-Based Tool for Durable Medical Equipment (DME)Effective 1 de julio de 2024, HC...
P F
1 de mayo de 2024
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P F
1 de mayo de 2024
The following new policy was recently created:Fractional Carbon Dioxide (CO2) Laser Ablation Treatme...
P B F
1 de mayo de 2024
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
1 abr, 2024
The following new policies were recently created:Axillary Reverse Mapping for the Prevention of Brea...
P F
1 abr, 2024
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P F
1 abr, 2024
Genomic Sequence Analysis Panels in the Treatment of Solid Organ Neoplasms Effective 1 de junio de 2024, C...
P F
1 abr, 2024
We have completed our review of the 20 de abril24 CPT code changes, including any category II performan...
P F
1 abr, 2024
We have completed our review of the 20 de abril24 Healthcare Common Procedure Coding System (HCPCS) cha...
P B F
1 abr, 2024
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
1 mar, 2024
IQ criteria updatesEffective 1 de mayo de 2024 – IQ criteria updates to the CP:Procedures Reduction Mammop...
P B F
1 mar, 2024
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P F
1 mar, 2024
The following new policy was recently created:Suture Button Suspensionplasty Fixation System for Thu...
P B F
1 mar, 2024
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
1 mar, 2024
Effective 7 de abril de 2024, the Unlisted Procedures payment policy has been updated to reflect when a s...
P F
7 feb, 2024
Effective 7 de abril de 2024, the Unlisted Procedures payment policy has been updated to reflect when a s...
P F
1 feb, 2024
Islet Transplantation for Chronic Pancreatitis and Donislecel-jujn for Type 1 Diabetes (REVISED POLI...