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.