CommercialAdministrativeMedium impact
00.01.25br, PPO Network Rules for Provision of Specialty Services for Durable Medical Equipment and Laboratory, Radiology, and Physical Medicine and Rehabilitative Services
Independence Blue Cross·Diagnostic Imaging, PM&R (Physical Medicine & Rehab), Physical Therapy·Network
Effective date
Jan 1, 2025
We identified it
Jun 19, 2026
Summary
PPO network rules have been updated for specialty services including durable medical equipment (DME), laboratory, radiology, and physical medicine/rehabilitation services effective January 1, 2025. This policy change affects how these specialty services are accessed within the PPO network structure.
Action Required
Immediately: Review current referral patterns for DME, laboratory, radiology, and physical medicine services to ensure compliance with updated PPO network requirements. Verify that all referred providers are within the updated network guidelines. Update staff training on new network rules for these specialty service categories.