CommercialAdministrativeMedium impact
New appeals & claims adjustment forms
Blue Cross Blue Shield of Rhode Island·RI·Provider Update
Effective date
Dec 1, 2019
We identified it
Jun 20, 2026
Summary
BCBS Rhode Island has updated their appeals request form and claims adjustment form, which must be used immediately. The new forms are available on bcbsri.com under Provider Forms, and claims adjustments should be mailed to the claims department, not the Grievance and Appeals Unit.
Action Required
Immediately: Download new appeals request form and claims adjustment form from bcbsri.com under Provider Forms. Replace all old forms in office with new versions. Ensure staff knows to mail claims adjustments to the claims department address listed on the form, NOT to the Grievance and Appeals Unit.