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There are several options available to AmeriHealth primary care physicians (PCP) when choosing a participating capitated outpatient laboratory provider, including, but not limited to, the following:

• Laboratory Corporation of America (LabCorp^®)
• Quest Diagnostics^®
• Bio Reference Laboratory (New Jersey only)

As a reminder, PCPs in our network are required to select a participating capitated laboratory provider. HMO/POS members should use their PCP's capitated laboratory provider when in need of lab services.* HMO/POS members' ID cards show the Lab Indicator of their PCP's capitated laboratory provider, as shown in the sample ID card.

Keep in mind the following:

• To obtain current capitation information, use the Eligibility and Benefits Inquiry transaction on the NaviNet^®web portal.
• PCPs may obtain a specimen in the office or send an HMO member to a drawing station.
• Specialists (including OB/GYNs) must send HMO member specimens to the laboratory capitated by thatmember's PCP. Whether specialists obtain the specimen in their office or direct the member to a draw siteoperated by one of the capitated laboratories for testing, the study must be performed by the laboratorycapitated by the member's PCP.
• All members sent to a drawing station must be sent with the appropriate laboratory requisition form.
• The requesting office should complete the appropriate laboratory requisition form (not an HMO referral). Theserequisition forms permit multiple physicians to receive results; the initiator must provide full names and addressesof the physicians who should receive a duplicate copy. Note: If the member does not present the requisition formwhen his or her blood is drawn, the member will be billed by the drawing station.

To locate drawing stations for a participating outpatient laboratory, go to the Find a Provider tool, select Find Participating Doctors, Hospitals, and Ancillary Providers, and choose Laboratories from the "Search by provider type" drop-down menu.

*AmeriHealth New Jersey members may choose to receive routine laboratory services authorized by their PCP from a participating outpatient laboratory provider other than their PCP's capitated laboratory provider. However, please note that this requires the member to have a referral issued by their PCP. Refer to the Provider Manual for Participating Professional Providers for more information.

NaviNet^® is a registered trademark of NaviNet, Inc.

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