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Blue Cross & Blue Shield of Rhode Island

BCBSNon-ParticipatingEDI Enrollment Required

Also covers / subsidiaries: BCBSRI, Blue Chip

Core Payer & Clearinghouse Profile

Electronic Payer ID

RIBC0

00870 is used for Blue Shield/BlueChip; 00370 is used for Blue Cross/BlueChip. Confirm the correct ID per product/member.

Timely Filing Limit (TFL)

180 days from the date of service

Appeal Window

File appeals/reviews through the BCBSRI provider claims process

Clearinghouse Gateway

Availity / standard clearinghouses

Provider Services

800-230-9050

Claims Fax

Varies — confirm via portal / clearinghouse

Claims Address

BCBSRI, ATTN: Claims Department, 500 Exchange Street, Providence, RI 02903

Provider Portal

https://www.bcbsri.com/providers

Distinct Blue Cross (00370) vs Blue Shield (00870) payer IDs; verify per member card.

National EDI Clearinghouse Capabilities

Direct ANSI X12 electronic transaction support verified for Blue Cross & Blue Shield of Rhode Island.

837P Professional Claims
837I Hospital Claims
837D Dental Claims
835 ERA Electronic Remittance
270/271 Real-Time Eligibility
276/277 Claim Status Inquiry
Secondary Claim Submission
Worker's Compensation EDI
Electronic Attachments (PWK)

Associated Clearinghouse Payer IDs

National clearinghouse networks maintain dedicated routing IDs for specific transaction lines or subsidiaries under Blue Cross & Blue Shield of Rhode Island.

Clearinghouse NameElectronic Payer IDStatusEnrollmentSupported Services
Bcbs Of Rhode Island10304Non-ParNone
276/277
Bcbs Of Rhode Island53473Non-ParRequired
835 ERADental
Blue CrossWC734Non-ParNone
Workers Comp
Blue Cross Blue Shield Of Rhode Island53473ParNone
835 ERADental
Blue Cross Blue Shield Of Rhode IslandCB870ParNone
835 ERADental
Blue Cross Blue Shield Of Rhode IslandRIBC0Non-ParRequired
837P837I835 ERA

Values vary by plan, line of business, and provider agreement. Confirm in the payer portal or with your clearinghouse gateway before submitting electronic claims.

Tired of Chasing Blue Cross & Blue Shield of Rhode Island Denials & Delayed Payments?

Aethera's billing specialists work Blue Cross & Blue Shield of Rhode Island every day — handling EDI clearinghouse rejects, prior authorizations, payment posting, and 30-day AR aging recovery.

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