CommercialAdministrativeHigh impact
Applying member’s correct name on claims
Blue Cross Blue Shield of Rhode Island·RI·Provider Update
Effective date
Jan 1, 2024
We identified it
Jun 19, 2026
Summary
BCBSRI is experiencing increased claim rejections due to incorrect member name information on claims. Providers must ensure member names on claims exactly match what appears on the member's insurance card or in the BCBSRI provider portal to avoid eligibility denials.
Action Required
Immediately: Billing team must verify all member names exactly match BCBSRI cards or provider portal at bcbsri.com before submitting claims. Check for double last names, correct spelling of first/last names, proper placement of middle names, and updated name changes. For questions, contact Provider & Physician Call Center at (401) 274-4848. Failure to use correct names will result in claim rejections for no eligibility.