CommercialDocumentationHigh 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, BCBS Rhode Island requires all claims with drug HCPCS/CPT codes to include an 11-digit National Drug Code (NDC) number. Claims without valid NDC numbers will be denied or rejected entirely.
Action Required
Immediately: Billing team must update all drug-related claims to include valid 11-digit NDC numbers for any drug HCPCS/CPT codes when billing BCBS Rhode Island. Update billing software to require NDC entry and validate 11-digit format. Train staff on proper NDC formatting. Claims without valid NDC numbers will be denied entirely.