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
BCBSRI now requires 11-digit NDC numbers on all claims with drug HCPC/CPT codes effective July 1, 2022. Claims missing NDC numbers or with invalid formats will be denied or rejected entirely.
Action Required
Immediately: Billing team must update all claims with drug HCPC/CPT codes to include valid 11-digit NDC numbers. Update billing software to require NDC entry for drug codes and validate 11-digit format before submission. Train staff on NDC lookup procedures. Claims without proper NDC numbers will result in entire claim denials or rejections at clearinghouse.