CommercialAdministrativeHigh impact
Requirement to refer members to in-network providers
Blue Cross Blue Shield of Rhode Island·RI·Provider Update
Effective date
Mar 1, 2024
We identified it
Jun 19, 2026
Summary
BCBS Rhode Island now requires all contracted providers to refer members only to in-network providers for services including DME, radiology, behavioral health, and lab services. Several specific labs and DME suppliers are confirmed as out-of-network and should not be used for referrals.
Action Required
Immediately: All providers must verify network status using BCBS RI's Find a Doctor tool before making any referrals. Stop referring to the listed out-of-network providers: Accu Reference Lab, Quest Diagnostics, Total Toxicology, U.S. Lab & Radiology Inc., and Zynex Medical. Update referral protocols to require network verification for all DME, radiology, behavioral health, and lab services to avoid member out-of-network costs.