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Mation Mailing and/or payment address for existing office Complete Sections 1 and 2. Closing existing site, opening new site or joining existing practice Complete Sections 1, 2, 3A, and 3B. Change in office hours, covering physicians and accepting/not accepting new patients Complete Sections 1, 3A, and 3B. NOTE: If you are adding a new practice location in another state, please provide us with a copy of your license and federal DEA to practice in that state. When co.

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How do I change my address? Please visit Member Self-Service, choose Change Address, and follow the instruction on the screen.

To file a claim: Complete a CMS-1500 claim form. Submit the form to: Blue Cross & Blue Shield of Rhode Island. ATTN: Claims Department. 500 Exchange Street. Providence, RI 02903.

If you need preauthorization, contact eviCore in one of three ways: Get immediate approval by submitting your request at .evicore.com. Call 1-888-233-8158 from 8:00 a.m. to 9:00 p.m., Eastern, Monday through Friday.

In the ANSI file, the Carrier Reference (Payer ID) for BCBSRI must be 00870 for Blue Shield/ Blue Chip and 00370 for Blue Cross/Blue Chip.

In the ANSI file, the Carrier Reference (Payer ID) for BCBSRI must be 00870 for Blue Shield/ Blue Chip and 00370 for Blue Cross/Blue Chip. Any other Payer id will not be recognized by our system.

If you have questions about whether or not your claims meet all conditions of a “clean claim,” you may contact the Physician and Provider Service Center at (401)-274-4848 or 1-800-230-9050. 1.

To file a claim: Complete a CMS-1500 claim form. Submit the form to: Blue Cross & Blue Shield of Rhode Island. ATTN: Claims Department. 500 Exchange Street. Providence, RI 02903.

Are you looking for something specific? Monday through Friday 8:00 a.m. to 4:30 p.m. Please contact your account executive or call our main number at (401) 459-1000 or 1-800-637-3718 outside Rhode Island.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232