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CommercialCoverageMedium impact

New policies

Blue Cross Blue Shield of Rhode Island·RI · Orthopedics, Pain Management, PM&R (Physical Medicine & Rehab)·Physician / Facility
Effective date
Nov 1, 2019
We identified it
Jun 20, 2026
Days to comply

Summary

Blue Cross Blue Shield of Rhode Island has created two new medical policies: Synthetic Cartilage Implants for Joint Pain and Diagnosis and Treatment of Sacroiliac Joint Pain, both effective November 1, 2019. These policies will establish coverage criteria and requirements for these specific treatments.

Action Required

Action needed
By November 1, 2019: Billing team must review the full policy text for Synthetic Cartilage Implants for Joint Pain and Diagnosis and Treatment of Sacroiliac Joint Pain on bcbsri.com under Medical Policy heading. Update billing procedures and prior authorization requirements based on the detailed policy requirements once reviewed.