CommercialAdministrativeHigh impact
Applying member’s correct name on claims
Blue Cross Blue Shield of Rhode Island·RI·Provider Update
Effective date
Dec 1, 2023
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 system to prevent eligibility rejections.
Action Required
Immediately: Billing team must verify all member names exactly match BCBSRI insurance cards or bcbsri.com eligibility portal before submitting claims. Check for double last names, correct spelling of first/last names, proper placement of middle names, and updated name changes. Use BCBSRI provider portal at bcbsri.com for verification. Contact Provider & Physician Call Center at 401-274-4848 for questions. Failure to use correct names will result in claim rejections for no eligibility.