- 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 Blue plan member in...
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 2025
DRG Mapping PolicyWe updated the description within the policy and added the following statement. No...
P F
1 de mayo de 2025
Biomarker Testing in Risk Assessment and Management of Cardiovascular Disease  ...
P F
1 de mayo de 2025
Effective 1 de julio de 2025, updates will be made in the online authorization tool for the following Inte...
P F
1 de mayo de 2025
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P F
1 de mayo de 2025
The following new policies were created. Effective dates vary so please review the full text of thes...
P B F
1 de mayo de 2025
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P
1 abr, 2025
Allergy Immunotherapy Injections The above referenced policy was updated to clarify that BCBSRI...
P F
1 abr, 2025
We have completed our review of the 20 de abril25 Healthcare Common Procedure Coding System (HCPCS) cha...
P F
1 abr, 2025
Prior authorization via web-based tool for Durable Medical Equipment (DME)Effective 1 de junio de 2025, fo...
P F
1 abr, 2025
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P B F
1 abr, 2025
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
F
1 mar, 2025
2025 Coding and Payment Guidelines Modifiers Modifier 27 has been added to this policy. Modifie...
P F
1 mar, 2025
Multitarget Polymerase Chain Reaction Testing for Diagnosis of Bacterial VaginosisEffective 1 may, 2...
P F
1 mar, 2025
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P B F
1 mar, 2025
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P
18 feb, 2025
We have completed our review of the 20 de abril25 current procedural terminology (CPT) including any ca...
P F
1 feb, 2025
Coding and Payment Guidelines/Modifiers Effective, 1 de enero de 2025, modifier 27 has been added ...