Medicare AdvantageAdministrativeMedium impact
Inpatient SNF Occurrence Code
Blue Cross Blue Shield of Rhode Island·RI · Family Medicine, Internal Medicine, Geriatrics·Facility
Effective date
Jan 1, 2025
We identified it
Jun 19, 2026
Summary
BCBSRI requires inpatient Skilled Nursing Facility (SNF) claims to be submitted with occurrence code 70 along with the dates of the qualifying inpatient hospital stay. This is for CMS reporting tracking purposes under Medicare Advantage plans, though claims won't be denied without it.
Action Required
Effective January 1, 2025: Billing team must update inpatient SNF claim submissions to include occurrence code 70 with the dates of the qualifying inpatient hospital stay for all BCBSRI Medicare Advantage members. Update billing system templates and train staff on the new requirement. Contact ProviderRelations@bcbsri.org with questions.