Who is affected by this change?

This affects Blue Cross Blue Shield of Rhode Island in RI on Commercial plans.

When does this change take effect?

This change is effective Jun 1, 2021.

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CommercialDocumentationMedium impact

Unlisted Procedure Code Form

Blue Cross Blue Shield of Rhode Island·RI·Provider Update

Effective date

Jun 1, 2021

We identified it

Jun 19, 2026

Days to comply

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Summary

BCBS RI now requires an Unlisted Procedure Code Form to be submitted with complete medical records when filing claims for any unlisted procedure codes. Separate forms are available for facilities and physicians on the provider portal.

Action Required

Action needed

Immediately: Billing team must download and use the appropriate Unlisted Procedure Code Form (facility or physician version) from the BCBS RI provider portal when submitting claims for any unlisted procedure codes. Include complete medical records with each submission. Claims for unlisted procedures without the required form may be denied or delayed.

Related policy hubs

Blue Cross Blue Shield of Rhode Island policies RI policy changes