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Important reminder: Ordering provider information

Blue Cross Blue Shield of Rhode Island·RI · Diagnostic Imaging·Provider Update
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply
—

Summary

BCBSRI requires providers to include ordering provider name and Type 1 NPI on all claims for laboratory, imaging, durable medical equipment, and home infusion services. Missing or incomplete ordering provider information will result in claim rejections.

Action Required

Action needed
Immediately: Billing team must ensure all claims for laboratory, imaging, durable medical equipment, and home infusion services include ordering provider name in box 17 and Type 1 NPI in box 17b on CMS-1500 forms. For electronic submissions, include Type 1 NPI in 2310A Loop, NM109 segment. Update billing software to require this information before claim submission. Claims with missing or incomplete ordering provider information will be rejected.

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