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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, visit 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 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 contracted laboratories 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.
New resource available
IBC has created a flyer to help members understand the following:
- the recent change to IBC's outpatient laboratory provider network;
- cost differences between various lab types;
- how to find an in-network lab.
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, please submit an online request or
call the Provider Supply Line at 1-800-858-4728.
NaviNet® is a registered trademark of
NaviNet, Inc., an independent company.
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