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Policies recently reviewed for annual update

Blue Cross Blue Shield of Rhode Island·RI · Cardiology, Neurology, Pulmonology +6 more·Provider Update
Effective date
Oct 1, 2024
We identified it
Jun 19, 2026
Days to comply

Summary

BCBSRI completed their annual policy review on October 1, 2024, updating 26 medical policies covering various services from sleep apnea devices to cancer testing. The billing team should review the full updated policy texts available on the BCBSRI provider website to identify specific coverage, prior authorization, and billing changes.

Action Required

Action needed
Immediately: Billing team must access bcbsri.com Provider section to review the full text of all 26 updated policies listed. Identify any changes to coverage criteria, prior authorization requirements, or billing procedures for services your practice provides. Update billing system rules and staff training accordingly. Also review monthly draft policies under 'Draft Medical Policies' section and submit comments within 30 days if applicable.