HIPAA Transactions

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Becoming a Paperless provider with BCBSRI

Blue Cross and Blue Cross Blue Shield of RI offers electronic claims filing, provided your office has a software product that can create the X12 837 electronic format (005010X222, 005010X223 or 005010X224).  If you do not have this capability, many of our providers use a clearinghouse or billing agency for this purpose.

How to Register to send Electronic claims:

  1. Open and print the Trading Partner Agreement and Trading Partner Registration Form. For a list of available instruction documents and companion guides, please see HIPAA Transactions Documents.
  2. Complete the Trading Partner Agreement and Trading Partner Registration Form and mail them to: 

    Blue Cross & Blue Shield of Rhode Island
    Attn: Manager, EDI & Electronic Information Exchange 
    500 Exchange Street 
    Providence, RI 02903 

Upon receipt of the completed forms, an EDI Analyst from Blue Cross' EDI Department will contact you to begin your setup for the testing process  You must also choose a method of connectivity (SFTP or HTTPS) by completing the Data Transfer Worksheet located on the same page as the TPA/TPR documents listed here  HIPAA Transactions Documents.