Blue Cross & Blue Shield of Rhode Island
Part of Blue Cross & Blue Shield of RI
Summary
Blue Cross & Blue Shield of Rhode Island is a regional health plan, part of Blue Cross & Blue Shield of RI, offering dental, medical, and vision coverage operating in Rhode Island. Claims route under payer ID RIBLS, with 11 alternate IDs in use across clearinghouses. Provider enrollment typically takes 60-90 days, with applications through BCBS RI Provider Portal, and CAQH is used for credentialing data. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes a few days.
At a glance
- Payer ID
RIBLSAlso seen as 00370, 00870, 10304, 12B74, 53473, 7420 and 5 more- Also known as
- BCBS Rhode Island, Blue Chip of Rhode Island, Blue Cross & Blue Shield of Rhode Island - Medicare Advantage, Blue Cross Blue Shield Rhode Island, Blue Cross Blue Shield of Rhode Island
- Uses CAQH
- YesApplication route: CAQH application only
- Service area
- RI
Clearinghouse transaction setup
Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.
| Transaction | Enrollment | Typical setup |
|---|---|---|
| Eligibility checks (270/271) | Not required | Immediate |
| Claim status (276/277) | Not required | Immediate |
| Professional claims (837P) | Not required | Immediate |
| Institutional claims (837I) | Not required | Immediate |
| ERA / remittance (835) | Required | A few days |
Common questions
- What is the payer ID for Blue Cross & Blue Shield of Rhode Island?
- The payer ID for Blue Cross & Blue Shield of Rhode Island is RIBLS. Alternate IDs seen across clearinghouses include 00370, 00870, 10304, 12B74.
- How long does Blue Cross & Blue Shield of Rhode Island provider enrollment take?
- Blue Cross & Blue Shield of Rhode Island provider enrollment typically takes 60-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.
- Does Blue Cross & Blue Shield of Rhode Island require CAQH?
- Yes. Blue Cross & Blue Shield of Rhode Island uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.
- Does Blue Cross & Blue Shield of Rhode Island require ERA enrollment?
- Yes. Blue Cross & Blue Shield of Rhode Island requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few days.
- What states does Blue Cross & Blue Shield of Rhode Island cover?
- Blue Cross & Blue Shield of Rhode Island operates in RI. Coverage can differ by plan and product line, so confirm the specific plan before you file.
Compiled from public payer resources and clearinghouse catalogs. Details change often, so confirm with the payer before relying on them. Spot something out of date? Tell us and we will fix it.