Participating lab referrals help our members most
This is a reminder for you to refer Anthem members to participating labs whenever possible. Referring Anthem members to a nonparticipating lab may expose them to a greater financial responsibility. LabCorp* is our preferred lab provider and is a single-source solution for your testing requirements. LabCorp referrals do not affect network hospital-based lab service providers, contracted pathologists, or contracted independent laboratories. Physicians can continue to refer to all participating lab providers as they have in the past.
In your Anthem Agreement you agreed to refer Anthem members to participating labs when available. This is important because members will only receive their full benefits from participating lab providers. As a reminder, Quest Diagnostics* is a nonparticipating laboratory for all lines of business in Colorado.
There are certain nonparticipating labs offering to waive or cap co-payments, coinsurance, or deductibles for our members.
These practices undermine member benefits and represent questionable billing practices. Referring to LabCorp assures our members their lab costs will be covered under their benefit terms.
For a listing of Anthem participating laboratories, please check our online directory. Go to https://www.anthem.com, select For Providers, and select Go To Providers Overview. From here, select Find Resources in Your State, and choose Colorado. From the Provider Home tab, select the enter button from the blue box on the right side of page titled Find Care.
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 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.
November 2022 Anthem Provider News - Colorado