CommercialAdministrativeMedium impact
Ancillary Claims Filing Reminder
Blue Cross Blue Shield of Rhode Island·RI·Physician
Effective date
Dec 1, 2019
We identified it
Jun 20, 2026
Summary
This is a reminder policy clarifying where ancillary providers (labs, DME suppliers, specialty pharmacies) must submit claims based on geographic rules. Lab claims must be filed where the referring provider is located, DME claims where equipment is delivered, and specialty pharmacy claims where the ordering physician practices.
Action Required
Billing team should review current ancillary claim submission practices to ensure compliance with geographic filing rules. Verify that lab claims are being submitted to the plan where the referring provider is located (not where lab work is performed), DME claims to where equipment is delivered, and specialty pharmacy claims to where the ordering physician practices. Update billing procedures and staff training if current practices don't align with these requirements.