Attention! An update has been made to this page.
As previously communicated, there has been a change to the AmeriHealth HMO,
Inc. (AmeriHealth) outpatient laboratory provider network. The change and
impact to providers are outlined below.
Outpatient laboratory provider network change
As of October 1, 2017, AmeriHealth ended its contract with Quest
Diagnostics™ (Quest), and Quest is now considered
out-of-network.
This change 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 Quest Diagnostics were
automatically assigned Laboratory Corporation of America®
Holdings (LabCorp)* as their new capitated outpatient laboratory provider as
of October 1, 2017.
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 has recently been 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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