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Change to IBC’s outpatient laboratory network effective July 1

July 1, 2014

As previously communicated, IBC has selected Laboratory Corporation of America® Holdings (LabCorp) as our exclusive nationally based provider of outpatient laboratory services effective July 1, 2014. Also effective July 1, 2014, IBC?s contract with Quest Diagnostics® laboratories will end, and Quest Diagnostics will be an out-of-network provider at that time. This change applies to all Blue-branded product lines and members (i.e., Personal Choice®, Keystone Health Plan East, and Independence Administrators), including individual, group commercial, and Medicare Advantage members, for services rendered in the Philadelphia five-county region and contiguous counties (i.e., the counties that surround the five-county IBC service area). As a reminder, your Professional Provider Agreement with IBC requires you to direct members and/or their lab specimens to a participating outpatient laboratory provider, except in an emergency, as otherwise described in the applicable Benefit Program Requirements, or as otherwise required by law.

Establish your electronic interfaces with LabCorp

LabCorp offers a variety of test ordering and result delivery solutions that provide the flexibility to meet your needs, including several electronic options, like LabCorp Beacon®. 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.

Re-issue of ID cards for affected members

As a result of this change in outpatient laboratory network, primary care physicians (PCP) who were previously capitated to Quest Diagnostics were assigned a new capitated laboratory provider. As a result, HMO and POS members whose PCP?s capitated laboratory changed have been issued a new member ID card by mail. ID cards for HMO and POS members indicate the member?s capitated laboratory provider through the Lab Indicator. As they do today, physicians should check the member?s ID card and the Eligibility and Benefits Inquiry transaction on the NaviNet® web portal to verify the capitated laboratory provider for HMO and POS members. Using NaviNet will ensure that practices have the most accurate information.

More information about this change

We encourage you to review the information posted on the LabCorp-dedicated section of our Provider News Center. This section contains resources specific to our provider network, including: frequently asked questions; a list of LabCorp?s new patient service centers in the five-county IBC service area; a list of other currently contracted laboratories that will remain in our network in addition to LabCorp; an archive of communications related to this change. If you have any questions about this change, please email us.

NaviNet® is a registered trademark of NaviNet, Inc., an independent company.


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