Anthem Blue Cross and Blue Shield’s contract with LabCorp and Quest Diagnostics provides laboratory testing services at reduced or no cost to Anthem health plan participants.
Anthem Blue Access PPO plan participants: There is no employee cost share when using LabCorp or Quest Diagnostics. That means no deductible, no co-payment and no co-insurance.
Anthem High Deductible plan participants: Any laboratory services received still are subject to deductible and co-insurance. However, because Anthem has negotiated lower rates with LabCorp and Quest Diagnostics, those on the high-deductible plan can minimize out-of-pocket expenses by using the services of these companies.
The provider directory on the Anthem website does not yet contain all of the available locations. Case Western Reserve University employees can make an appointment at a facility by visiting the companies’ websites directly and can ask their doctors’ offices to refer them to a preferred lab when sent for testing.
For further assistance, contact Anthem customer service at 800.552.9159.
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Georgia
Provider Communications
Reminder to use in-network laboratory
Feb 1, 2019 • Administrative
As a reminder, physicians are required to refer to in-network laboratories. Laboratory Corporation of America (LabCorp) is one of many labs participating in the PPO network. For a complete list of PPO labs see the “Find a Doctor” tool at anthem.com.
LabCorp is the exclusive national clinical reference laboratory provider for Anthem HMO, Open Access POS and Pathways members. For these members, this means referring to LabCorp. By doing so, members are assured of having the highest benefit level and minimum out-of-pocket expense.
Laboratory specimens can be collected in the office with LabCorp courier pick-up available throughout Georgia. Members may also bring a LabCorp requisition form completed by their physician, to any of the over one-hundred LabCorp Patient Service Center locations throughout Georgia. To find out about LabCorp Patient Service Center locations, go to anthem.com.
If you have questions about LabCorp services, need to set up a LabCorp account, order supplies or schedule a pick-up, please call LabCorp at 800-762-0890.
If you have questions about our provider network or coverage for your patients, please contact your Anthem network consultant.
Featured In:
February 2019 Anthem Provider Newsletter - Georgia
Colorado
Provider Communications
Non-participating lab referrals
May 1, 2021 • Administrative
This is a reminder to ensure that you are referring Anthem Blue Cross and Blue Shield (Anthem) members to participating labs. LabCorp is our preferred lab provider and offers a Single Source Solution to your testing needs. The relationship with LabCorp does not affect network hospital-based lab service providers, contracted pathologists, or contracted independent laboratories. Physicians may continue to refer to all par providers as they have in the past.
Not only does your Anthem agreement obligate you to refer to participating labs where available, but members will only receive their full benefits from participating providers. As a result, referring your patient and our member to a non-participating lab may expose them to a greater financial responsibility. As a reminder, Quest Diagnostics is a non-participating laboratory for all lines of business in Colorado.
Unfortunately, there are certain non-participating labs that are offering to waive or cap co-payments, coinsurance or deductibles to our members in order to increase their overall revenue. These practices undermine member benefits and may encourage over-utilization of services.
These billing practices are also questionable in their legality. Such a practice may present violations under state or federal anti-kickback laws, and may constitute abuse of health insurance under the Colorado criminal code.
For a listing of Anthem participating laboratories, please check our online directory. Go to anthem.com. Choose Providers, and Providers Overview. Select Find Resources in Your State, and pick Colorado. From the Provider Home tab, select the enter button from the blue box on the left side of page titled Find a Doctor.
Note: When searching for laboratory, pathology, or radiology services, under the field “I am looking for a:” select Lab/Pathology/Radiology; and then under the field “Who specializes in:”, select Laboratories, Pathology, or Radiology as appropriate for your inquiry.
LabCorp is our preferred lab provider and offers a Single Source Solution to your testing needs:
LabCorp is capable of providing services that range from routine testing, such as basic blood counts and cholesterol tests, to highly complex diagnosing of genetic conditions, cancers, and other rare diseases. LabCorp has specialized laboratories which cover the following areas of testing:
Allergy Program | Genetic Testing | Medical Drug Monitoring | Obstetrics / Gynecology |
Cancer Testing | Genetic Counseling | Molecular Diagnostics | Oncology |
Cardiovascular Disease | Genomics | Newborn Screening | Toxicology |
Companion Diagnostics | HLA Lab for National Marrow Donor Program | Pain Management | Whole Exome Sequencing |
Dermatology | Hematopathology | Pathology Expertise w/range of Subspecialties | Virology |
Diabetes | Infectious Disease | Pharmacogenomics | Women’s Health |
DNA Testing | Immunology | Preimplantation Genetic Diagnosis | Urology |
Endocrine Disorders | Liver Disease | Reproductive Health | |
Esoteric Coagulation | Kidney Disease | ||
Gastroenterology |
Note: This relationship with LabCorp does not affectnetwork hospital-based lab service providers, contracted pathologists, or contracted independent laboratories.
1103-0521-PN-CO
Featured In:
May 2021 Anthem Provider News and Important Updates - Colorado