PPO Network Rules for Provision of Specialty Services for Durable Medical Equipment and Laboratory, Radiology, and Physical Medicine and Rehabilitative Services

Independence Blue Cross · PayerPolicy · IBX-MA-PPO-HOST-MA00-010AV-EB6E418DB2

Source checked August 2, 2026 · Open the payer’s source

Status: Retired

Summary of the payer’s published policy. Not a coverage determination — confirm with Independence Blue Cross before submitting.

This version is retired

Independence Blue Cross has replaced or withdrawn this version, and Backwork could not match it to a current one. The payer’s current policies are listed on its page.

Independence Blue Cross policies Payer’s source