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As previously communicated, Laboratory Corporation of
America® Holdings (LabCorp) is now IBC?s exclusive nationally
based provider of outpatient laboratory services. This change went into effect
on July 1, 2014. Also effective July 1, 2014, Quest Diagnostics is an
out-of-network provider.
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 IBC five-county
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®. For more information about
LabCorp Beacon®, go to the LabCorp website.
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 our outpatient laboratory network, many
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 were issued a new
member ID card. 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 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.
For more information
We encourage you to review the information posted on the LabCorp-dedicated section of our
Provider News Center. This section contains valuable resources specific to our
provider network, including:
- frequently asked questions;
- a list of LabCorp?s new patient service centers in the IBC five-county
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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