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As previously communicated, as of October 1, 2017, AmeriHealth HMO,
Inc. and AmeriHealth Insurance Company of New Jersey (collectively, AmeriHealth
New Jersey) began a phased approach to make Laboratory Corporation of
America® Holdings (LabCorp) the exclusive nationally based
provider of outpatient laboratory services for AmeriHealth New Jersey as of May
1, 2018. The AmeriHealth New Jersey network will also include other
currently contracted specialty laboratories that will remain in our network in
addition to LabCorp.
Note: This change will affect your patients who carry AmeriHealth New
Jersey or AmeriHealth Administrators ID cards.
Laboratory providers in the AmeriHealth New
Jersey network
In light of this transition, AmeriHealth New Jersey will be ending its
contracts with the following laboratories as outlined below:
- Quest Diagnostics™ (Quest). Effective October 1,
2017, the contract ended for AmeriHealth New Jersey health plans, and Quest is
now an out-of-network provider.
- BioReference Laboratories (BioReference). Effective March 1, 2018,
the contract ends for AmeriHealth New Jersey health plans, and BioReference
will be an out-of-network provider.
- Health Network Laboratories® (Health Network).
Effective May 1, 2018, the contract ends for AmeriHealth New Jersey health
plans, and Health Network will be an out-of-network provider.
These laboratories will remain as in-network outpatient laboratory providers
with AmeriHealth New Jersey until their contracts end.
Re-issue of ID cards for affected members
If your practice was capitated to either Quest, BioReference, or Health
Network for outpatient laboratory services, and we did not receive a request to
(1) remain with your current in-network capitated outpatient laboratory until
their contract ends or (2) select a different in-network capitated outpatient
laboratory provider, AmeriHealth New Jersey automatically assigned LabCorp* as
your capitated outpatient laboratory provider as of October 1, 2017.
As a result of this 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.
New resource available
We have created a flyer to help members understand the following:
- The recent change to AmeriHealth New Jersey?s outpatient laboratory
provider network;
- Cost differences between using an in-network or an out-of-network lab;
- How to find an in-network laboratory.
If you have patients who may benefit from this information, you may request
copies of the flyer to include in their charts.
To order a supply of flyers for your office, please submit an online request.
For more information
For additional information, including a frequently asked questions document,
visit the Exclusive National
Outpatient Lab Provider section of our Provider News Center. This page will
be updated as new information becomes available. For more information about
LabCorp, please visit their website.
NaviNet® is a registered trademark of
NaviNet, Inc.
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