As previously communicated, changes were being made to the AmeriHealth HMO, Inc. (AmeriHealth) outpatient laboratory provider network. AmeriHealth ended its contract with Health Network Laboratories? (Health Network), as of May 1, 2018, and Health Network is now out-of-network.
This applies to all AmeriHealth Pennsylvania HMO and POS members, including individual and group members.
Re-issue of ID cards for affected members
Most practices that were previously capitated to Health Network were automatically assigned Laboratory Corporation of America? Holdings (LabCorp)* as their new capitated outpatient laboratory provider as of May 1, 2018.
As a result of the new assignment, HMO and POS members were issued a new member ID card that indicates the member?s capitated laboratory provider through the Lab Indicator.
As they do today, physicians should check the member?s ID card and use the Eligibility and Benefits Inquiry transaction on the NaviNet? web portal to verify the capitated laboratory provider for HMO and POS members. Using NaviNet ensures that practices have the most accurate information.
*Unless another participating outpatient laboratory provider was selected.
Establish your electronic interfaces with LabCorp
If your practice was assigned to LabCorp, you will need to establish a new electronic interface. LabCorp offers a variety of test ordering and result delivery solutions that provide the flexibility to meet clients' needs, including several electronic options:
- Web-based or Windows?-based electronic solutions: Go to www.labcorp.com/beacon for more information.
- Bi-directional and uni-directional interfaces: LabCorp has established interface capabilities with more than 600 EMR (electronic medical record) and PMS (practice management software) systems.
If you haven?t already, we strongly suggest that you contact LabCorp at 1-888-295-5915 as soon as possible to establish your preferred electronic interfaces. Visit LabCorp's website visit for more information.
For more information
If you have questions about your assignment or you would like to change LabCorp as your capitated provider, please email your request to ahPracticeUpdates@amerihealth.com or send a fax to 215-761-9560.
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