CommercialAdministrativeMedium impact
00.10.39q, Billing for Professional Office-Based Services Performed in an Outpatient Office-Based Setting Located within a Facility or on a Facility Campus
Independence Blue Cross·Claims & Billing
Effective date
Jan 1, 2025
We identified it
Jun 19, 2026
Summary
This policy update affects billing for professional office-based services performed in outpatient settings located within or on a facility campus. The policy was recently updated for commercial plans with specific guidelines for billing these services.
Action Required
By January 31, 2025: Billing team must review updated policy 00.10.39q for office-based services performed within facility settings. Verify billing procedures for professional services provided in outpatient offices located on facility campuses comply with new commercial plan requirements. Update billing workflows and staff training as needed.