CommercialAdministrativeMedium impact
00.01.25bt, PPO Network Rules for Provision of Specialty Services for Durable Medical Equipment and Laboratory, Radiology, and Physical Medicine and Rehabilitative Services
Independence Blue Cross·Radiology, PM&R (Physical Medicine & Rehab)·Network
Effective date
Oct 1, 2025
We identified it
Jun 19, 2026
Summary
Updated PPO network rules for specialty services including durable medical equipment, laboratory, radiology, and physical medicine/rehabilitation services. This is a commercial policy update that will take effect on October 1, 2025, affecting how these specialty services are provided within the network.
Action Required
Before October 1, 2025: Billing team should review the full policy details at the provided URL to understand specific network rule changes for DME, lab, radiology, and PM&R services. Update billing workflows and verify network provider requirements for these specialty services to ensure compliance with new PPO network rules.