CommercialAdministrativeMedium impact
New CMS Hospital Bill Type/Class (087) as Outpatient
Blue Cross Blue Shield of Rhode Island·RI·Physician / Facility
Effective date
Jan 1, 2021
We identified it
Jun 19, 2026
Summary
BCBSRI has implemented a new CMS Hospital Bill Type/Class code (087) that will be processed as outpatient claims for claim matching and determination of responsibility purposes. This system update affects how hospital billing is classified and processed.
Action Required
By January 1, 2021: Billing teams at hospitals should verify that claims using the new CMS Hospital Bill Type/Class (087) are being processed correctly as outpatient claims in BCBSRI's system. Monitor claim processing and matching to ensure proper classification.