All PlansAdministrativeHigh impact
New process: Referral numbers required on claims
Blue Cross Blue Shield of Rhode Island·RI·Physician
We identified it
Jun 20, 2026
Summary
Effective immediately, all claims submitted to BCBS Rhode Island must include the Health Trio referral confirmation number in box 23 of the CMS-1500 form. This ensures proper claim processing when multiple referrals exist for the same provider group.
Action Required
Immediately: Billing team must update all CMS-1500 claim forms to include Health Trio referral confirmation numbers in box 23. Train staff to obtain referral numbers from Health Trio portal before claim submission. Update billing system templates and encounter forms to capture this required field. Claims may be delayed or incorrectly processed without this information.