CommercialAdministrativeHigh impact
NDC numbers required on claims effective July 1, 2022
Blue Cross Blue Shield of Rhode Island·RI·Provider Update
Effective date
Jul 1, 2022
We identified it
Jun 19, 2026
Summary
Effective July 1, 2022, BCBSRI requires 11-digit National Drug Code (NDC) numbers on all claims submitted with drug HCPCS/CPT codes. Claims missing NDC numbers or containing invalid NDC formats will be denied or rejected entirely.
Action Required
Immediately: Billing team must update all claims with drug HCPCS/CPT codes to include valid 11-digit NDC numbers before submission to BCBSRI. Update billing software to validate NDC format and require NDC entry for drug codes. Train staff on NDC requirements as entire claims will be denied without proper NDC codes.