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1 Jun, 2019

Requirement to refer members to in-network providers for all BCBSRI products

As a BCBSRI-contracted provider, you have an obligation to coordinate members’ care with contracted, in-network providers. This includes all services, such as clinical laboratory and pathology services, durable medical equipment, radiology, podiatry, behavioral health providers, and any other specialties.

The following laboratories are not participating providers with BCBSRI:

  • Total Toxicology
  • U.S. Lab & Radiology, Inc.
  • Quest

Before you establish a referral relationship, please confirm that the provider currently participates in the BCBSRI network. Please also confirm that the provider currently participates with your patient’s plan (e.g., BlueCHiP Advance). One way to do that is by checking providers’ participation status on our Find a Doctor tool.