CommercialAdministrativeHigh impact
Claim submissions with taxonomy code
Blue Cross Blue Shield of Rhode Island·RI·Provider Update
Effective date
Apr 1, 2019
We identified it
Jun 20, 2026
Summary
Effective April 1, 2019, BCBSRI requires provider taxonomy codes to be submitted on all claims through specific PRV segments in electronic claim loops. This applies to billing providers, attending providers, and rendering providers at both claim and line levels.
Action Required
Immediately: Billing team must update electronic claim submission system to include provider taxonomy codes in PRV segments for all claim types (837I and 837P). Configure billing software to populate PRV segments with appropriate taxonomy codes for billing providers (2000A Loop), attending providers (2310A Loop), rendering providers at claim level (2310B Loop), and rendering providers at line level (2420A Loop). Contact ProviderRelations@bcbsri.org for questions. Claims without required taxonomy codes will likely be rejected.